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13500 E. Fremont Place, Englewood CO 80112 303-768-7521
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Our medical staff asks that every parent fills out a DYC Medical Consent Form. This form authorizes professional health care providers employed or contracted by the Department of Human Services, Division of Youth Corrections, to provide general and emergency health care services, or to seek such services from other health care providers licensed to practice in the State of Colorado for your child. These services shall include but not be limited to medical, dental, psychological, and psychiatric care. A reasonable effort will be made to promptly notify in case of serious illness, serious injury or emergency hospitalization. Consent will be obtained from the parent for elective surgical treatment or special procedures as required by other agencies prior to completion of the procedure.
 
This form can be signed at our facility and given to Control Staff or you can print a version of the DYC Medical Consent Form here and mail it to our facility at the address above.