Anytime you are going to be separated from your
child, be sure to leave written permission for emergency treatment
on file with Munson Healthcare. The law requires parental authorization
prior to treatment, except in life or death situations. With the
proper consent on file, you assure your child of immediate care
should it be necessary in your absence. Complete the form below
and return it to Munson Medical Center's ER. A notary is available
from 8 am to 5 pm, Monday through Friday, at no charge. The form
may also be faxed to (231) 935-2816.
ER Treatment Form
This form covers service at the following Munson
Healthcare facilities: