This legally sound, easy-to-use consent form allows parents or legal guardians to authorize IV or IM nutrient therapy for a minor. Designed for licensed medical practices, the form includes informed consent language covering the risks, benefits, alternatives, and potential complications of treatment. It documents guardian authorization, provider liability release, and a clear expiration window for validity.

Download now to protect your clinic and comply with state and federal regulations when providing IV/IM services to minors under parental care.