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Fillable Form Child Medical Consent

A Child Medical Consent Form is a legal document that provides someone other than the parent or legal guardian a temporary right to seek and provide healthcare and healthcare decisions on behalf of their child.


What is a Child Medical Consent Form?

A Child Medical Consent Form is a legal document that grants an individual, aside from a parent or legal guardian, temporary rights to access medical care and to give healthcare decisions for a child. It is written and approved by parents or guardians who may be unable to provide personal consent to the medical treatment of their child due to valid reasons, including travel situations. In general, individuals who are granted consent are grandparents, step-parents, relatives, teachers, sports coaches, caregivers, and childcare workers.

The main purpose of a medical consent document is to protect a person. For life-threatening emergencies where an individual requires immediate medical attention, medical consent is necessary before any procedure is done. However, requirements for medical approval are fewer for minors. While a child medical consent ensures that any medical treatment a child would receive is approved by a parent or legal guardian, in most cases, a doctor is allowed to administer treatment even if the condition is not life-threatening. In some cases, child protective services may also be contacted to authorize medication. Nevertheless, it is advisable for children to carry medical consent forms, when parents or legal guardians are not with them, just in case an emergency medical care will be needed.

Other names for child medical consent form includes Medical Authorization for a Minor, Child Medical Release Form, Medical Consent for Minors, and Caregiver Consent Form. No matter its name, their purpose is to authorize another party or individuals temporary and limited consent to obtain medical care for a child who is under their care.

Authorization for medical consent to a temporary guardian does not revoke parental rights. In addition, child medical consent will be governed by the laws of the state where medical services will be sought. A minor is an individual who has not yet reached the legal age of majority; in most states, 18 years old is the legal age of majority. In most jurisdictions, once an individual reaches the age of 18, he or she is now legally an adult. In some jurisdictions, the legal age is 19 or 21. Thus, before attending to a patient who is not of legal age yet, medical professionals must obtain consent from the patient’s parent or legal guardian. Generally, when a minor has no medical consent form and his or her parent or legal guardian is not available to give consent, consent is presumed especially if a delay in treatment would be life-threatening or cause serious harm.

How to Write a Child Medical Consent Document?

A child medical consent document is a single-page document that has an authorization statement, and personal information of the child and parents or guardians. Using PDFRun’s child medical consent form, you can write one in minutes. Follow the guide below to fill out the form accurately.

The first paragraph of a child medical consent document is the authorization statement. Provide the name of the parent or guardian, name of the minor, and the effective date of consent.

Provide the following personal and medical information of the child:

  • Full Legal Name
  • Date of Birth
  • Gender
  • Allergies
  • Treatment the child is currently receiving and the last date received
  • Treatment the child previously received and the last date received
  • Other Relevant Medical Information

Provide the following personal information of the parent or guardian:

  • Full Legal Name
  • Address
  • Telephone Number
  • Work Place
  • Mobile Number
  • Email
  • Additional Contact Information

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