Is your minor child coming to our office by themselves?

 

If coming alone (16 years & up):

If coming with an adult sibling or grandparent:

 
 

Send them to the appointment with a signed note authorizing the treatment.

Alternatively, you may complete the Authorization Form below and email it back to us at frontdesk@catonfielddental.com

Complete the Authorization Form below with the parent-substitute’s information and email it back to us at frontdesk@catonfielddental.com