[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-284062-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-284062-en":126},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","medical-consent-form-for-minor-ricardo-de-luna","Medical Consent Form for Minor - Ricardo de Luna","","This document serves as an official medical consent form for a minor, completed on behalf of the patient, Angela de Luna. The form authorizes a specific surgical procedure, identified as a tonsillectomy, to be performed by Dr. Michael Wong, MD. It includes verified contact information for the parent or legal guardian, Ricardo de Luna, including his phone number and email address. The document is dated 2 February 2023 and serves as a formal record of parental permission for clinical intervention and medical care.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/medical-consent-form-for-minor-ricardo-de-luna/284062/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/medical-consent-form-for-minor-ricardo-de-luna/284062.png","ImageObject",442,249,{"name":42,"@type":43},"Genevieve","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-01","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Who is the patient requiring the tonsillectomy?","Question",{"text":63,"@type":64},"The patient is Angela de Luna.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Who is the physician scheduled to perform the procedure?",{"text":68,"@type":64},"The procedure is to be performed by Dr. Michael Wong, MD.",{"name":70,"@type":61,"acceptedAnswer":71},"What is the date of this consent form?",{"text":72,"@type":64},"The form is dated 2 February 2023.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},284062,1789628101,{"code":4,"msg":82,"data":83},"success",[84,89,93,98,103,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":80,"read_time":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Ricardo de Luna  \n+61 2 9876 5432  \n[r_deluna@gmail.com](r_deluna@gmail.com)  \nF  \nFather  \nRicardo de Luna  \n tonsillectomy   \nAngela de Luna  \nDr. Michael Wong, MD  \nRicardo de Luna   \n Dr. Michael Wong, MD   \n+61 2 9876 5432  \n2 February 2023  \n2 February 2023","cbCaikljiBmUtv4b","https://ap.wps.com/l/cbCaikljiBmUtv4b","pdf",426737,"English","# Patient and Guardian Information\n## Surgical Consent Details","[{\"question\":\"Who is the patient requiring the tonsillectomy?\",\"answer\":\"The patient is Angela de Luna.\"},{\"question\":\"Who is the physician scheduled to perform the procedure?\",\"answer\":\"The procedure is to be performed by Dr. Michael Wong, MD.\"},{\"question\":\"What is the date of this consent form?\",\"answer\":\"The form is dated 2 February 2023.\"}]","Medical Consent Form for Minor - Ricardo de Luna | PDF"]