Form LIC627A Consent to a Medical Examination - California

Form LIC627A Consent to a Medical Examination - California

What Is Form LIC627A?

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.

FAQ

Q: What is a LIC627A form?
A: The LIC627A form is the Consent to a Medical Examination form used in California.

Q: Why is a LIC627A form used?
A: The LIC627A form is used to obtain consent from an individual for a medical examination.

Q: Who needs to fill out a LIC627A form?
A: The LIC627A form needs to be filled out by the individual undergoing the medical examination.

Q: What information is required in a LIC627A form?
A: The LIC627A form typically requires the individual's personal information and their signature to give consent for the medical examination.

Q: Is a LIC627A form mandatory?
A: Yes, for certain situations, such as a medical examination related to the issuance or renewal of driver's license, the LIC627A form is mandatory.

Q: Can someone else sign the LIC627A form on behalf of the individual?
A: No, the LIC627A form must be signed by the individual who will undergo the medical examination.

Q: How long is a LIC627A form valid?
A: The validity of the LIC627A form may vary depending on the specific requirements or policies of the organization or agency requesting the medical examination.

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Form Details:

  • Released on September 1, 2008;
  • The latest edition provided by the California Department of Social Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LIC627A by clicking the link below or browse more documents and templates provided by the California Department of Social Services.

Download Form LIC627A Consent to a Medical Examination - California

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  • Form LIC627A Consent to a Medical Examination - California, Page 1
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