LIC 701B - Gastrostomy - Tube Care Consent/Verification

LIC 701B - Gastrostomy - Tube Care Consent/Verification

The LIC 701B form, Gastrostomy - Tube Care Consent/Verification, is used to obtain consent from parents or authorized representatives regarding the care and maintenance of a child's gastrostomy tube. It verifies that parents or guardians understand and authorize the administration of feedings, medication, and necessary medical interventions related to the gastrostomy tube, as well as the responsibility of the child care provider in providing such care.