Consent for Minors

Rocksteady Life suggests that parents with minor children complete this Consent-to-Treat-Minor form. The form gives legal permission to treat your child in case of illness or injury if you cannot accompany your child. 

The law requires Rocksteady Life to receive permission from a child’s parent or legal guardian before treatment of illness or injury that is not life threatening. This form must be signed before Rocksteady Life can complete a consultation or session in regards to a child. 

This consent will be maintained with your child’s online record for a period of 24 months from the date signed, unless cancelled in writing. If you wish to change the authorization at any time, please feel free to contact Rocksteady Life at 555 West 7th Street, Suite 304 St. Paul, MN 55102.