(First Name) hereby allows the following.
-Surgery
-Anti-spiritual medication
-Therapy
Date and First Name
Understands DOHRCC standards. This consent form allows doctors, therapists, and lawyers to note that the applicant is conscious. If requested by law, the applicant may be selected for a blood draw concerning mental health and suspicious activity. The applicant must renew the application every six months to receive benefits from The Department of Human Resources and Creature Comforts.
Be aware this includes debts, insurance, and property granted by the DOHRCC. If you have had a child taken by the DOHRCC, that child is forfeit.