Free Child Medical Consent

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Child Medical Consent Information

Alternate Names:

A Child Medical Consent is also known as a:

  • Medical Authorization Form
  • Consent For Medical Treatment of a Minor
  • Parental Consent Form
  • Medical Authorization Letter for a Child

What is a Child Medical Consent form?

A Child Medical Consent form is used by parents or legal guardians of minor children to give another adult authority over their child's medical treatment.

LawDepot's Child Medical Consent can be used in all provinces and territories excluding Quebec.

When should I use a Child Medical Consent?

A Medical Authorization Form can be used when a child is away from their parent or guardian and in the care of a temporary caregiver. Some common instances may be when:

  • Travelling with someone other than a parent/guardian
  • In the care of a babysitter, day home, or daycare
  • During school, field trips, or recreational activities (sports clubs, organizations, or youth groups)
  • Staying with relatives, such as grandparents, aunts, uncles, etc.

What information does Child Medical Consent form need?

To complete your medical consent form, you will need to provide the following:

  • Parent and child contact information
  • Child medical information, including medications, illnesses, allergies, or health insurance details
  • Contact information for temporary caregiver (e.g. relative, babysitter, teacher, etc.)
  • When the consent form becomes effective
  • An end date if you'd like to specify when the consent expires
  • Decision-making powers given to the temporary caregiver
  • Name of your family physician (optional)

What health care powers can I give to a temporary guardian?

As the parent, you can choose which medical treatments and examinations to authorize and which not to authorize, including:

  • Blood transfusion
  • Surgery
  • Dental
  • Developmental: refers to treatment of cognitive, social, or physical development of a child
  • Mental Health: care relating to a child's psychological or emotional health

You can also choose whether or not to give the caregiver access to your child's medical records or health insurance.

What is the difference between a Child Medical Consent and a Child Travel Consent?

A Child Medical Consent form is used to grant authority over your child's medical treatment to another caregiver.

A Child Travel Consent is used by parents to give permission for a child to travel with another adult, alone, or with a group.

Who signs a Child Medical Consent form?

Both parents/guardians should sign the authorization form. If one parent has passed away or one parent has sole custody, it is the custodial parent who should sign the document. It is recommended that there be at least two witnesses or a notary public to witness the document's execution.

Forms Related to a Child Medical Consent:

Frequently Asked Questions:

Child Medical Consent FAQ
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