This is a legal form that was released by the California Department of Social Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form AD65?
A: Form AD65 is the Parent's Authorization for Medical and Surgical Care in California.
Q: What is the purpose of Form AD65?
A: The purpose of Form AD65 is to authorize medical and surgical care for a minor child in California.
Q: Who needs to fill out Form AD65?
A: Parents or legal guardians of a minor child in California need to fill out Form AD65.
Q: What information is required on Form AD65?
A: Form AD65 requires information about the parent or legal guardian, the child, and the authorization for medical and surgical care.
Q: Is Form AD65 legally binding?
A: Yes, Form AD65 is a legally binding document that allows a parent or legal guardian to authorize medical and surgical care for a minor child in California.
Q: Can Form AD65 be revoked?
A: Yes, a parent or legal guardian can revoke the authorization on Form AD65 by completing a new form or providing written notice to the healthcare provider.
Q: Can Form AD65 be used for non-emergency medical care?
A: Yes, Form AD65 can be used for both emergency and non-emergency medical care for a minor child in California.
Q: Do both parents need to sign Form AD65?
A: In most cases, both parents are required to sign Form AD65. However, there are exceptions for situations such as sole custody or if one parent cannot be located.
Q: Is Form AD65 specific to California?
A: Yes, Form AD65 is specific to California and may have different requirements or names in other states.
Form Details:
Download a fillable version of Form AD65 by clicking the link below or browse more documents and templates provided by the California Department of Social Services.