Table of Contents
- Download a Free Child Medical Consent Form
- The Basics: What is a Child Medical Consent Form?
- When Do I Need One?
- The Consequences of Not Using One
- The Most Common Situations when a Consent form is Needed
- What Should be Included
1. Download a Free Child Medical Consent Form
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2. The Basics: What is a Child Medical Consent Form?
A Child Medical Consent form is a written document authorizing another adult to make healthcare decisions for a minor child. For example, a grandparent, aunt, uncle, nanny, babysitter, or family friend may be taking care of your kid when an emergency occurs.
This form ensures that person can get your child proper medical care. If a parent or legal guardian is not traveling with their kid, the document is often used with a Child Travel Consent Form.
A simple Child Medical Consent form will identify the following basic elements:
- Parents: name and contact information of parent(s) or legal guardian(s)
- Child: name, address and date of birth for each minor
- Caregiver: name of responsible adult authorized to make decisions for some time
- Medical History: child’s health condition, allergies, prescriptions, and vaccines
- Healthcare Provider: name/number of physician/pediatrician and dentist/orthodontist
- Health Insurance: name/number of insurance, policy/group number, policy holder
- Signature: signed by the child’s parent or legal guardian
The American College of Emergency Physicians provides additional medical forms for children with special health care needs.
As a reference, people call this form by other names:
- Authorization to Consent to Medical Treatment
- Authorization for Minor’s Medical Treatment
- Caregiver Medical Consent Form
- Consent for Medical Treatment of a Minor
- Consent to Treat Minor Children
- Emergency Medical Consent Form
- Medical Authorization for Minor
- Medical Treatment Authorization Form
- Parental Medical Consent Form
Child Medical Consent PDF Sample
The sample child medical consent below details an agreement between the parent, ‘Michael B Knapp’, and the child’s teacher, ‘Wade L Jobe.’ Michael B Knapp agrees to Wade L Jobe seeking medical aid for the child, Evelyn J Knapp, when she is under his care.Child Medical Consent
3. When Do I Need One?
This consent form is commonly used when a parent or legal guardian has entrusted another person to temporarily take care of their kid.
A consent form is needed under these circumstances:
- Child is a minor — under the age of 18 years old
- Child is traveling with another person or group
- Child is with a babysitter or day care center
- Chaperone or trip leader is taking care of your kid
- Parent or guardian is temporarily away on work or business trips
The reality of life means parents may not be with their child if an emergency occurs. This form allows parents to designate a responsible adult to authorize medical treatment for their kid.
4. The Consequences of Not Using One
When you are not with your kid, a Child Medical Consent form can give you the peace of mind that your son or daughter will receive prompt medical care.
Without this form, the following preventable suffering could occur:
Consequences Suffered by Parent/Adult
Consequences Suffered by Child
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5. The Most Common Situations when a Consent form is Needed
It should be used if the child is:
- Home with a babysitter or family member
- Traveling with an authorized caretaker
- Staying at a child day care facility
- Taken care of by a nanny or au pair while parents are at work
Choose an authorized caretaker who understands your moral beliefs and shares your concern for the best interest of your child.
6. What Should be Included
Our sample Child Medical Consent form asks you easy questions that help you fill out the form.
1. Who is the authorized caretaker?
The parent or legal guardian designates another adult to be the authorized caretaker of their kid in cases of medical emergencies. The temporary guardian understand the parents’ wishes about medical treatment for their child.
2. What is the child’s medical history?
The parent or legal guardian should detail the minor’s health background, for example:
- Health conditions like asthma, diabetes, or pacemaker
- Allergies to antibiotics, medicine, or food
- Prescription of medications currently being taken
- Date of last tetanus injection or booster
- History of vaccines
Listing your child’s health background helps healthcare professionals diagnose a condition and make effective medical decisions.
3. What medical treatments are allowed?
Parents can authorize the caregiver to make certain medical care decisions for some time:
- Administer medication and prescriptions
- Anesthesia and surgical procedure
- Blood transfusions
- Dental care and treatment
- Diagnostic imaging (X-rays, CT scans, MRIs)
- Emergency medical care and treatment (i.e. CPR, surgery, hospitalization)
- Emergency medical transportation (i.e. ambulance)
- Routine examinations and check ups
Specify when (start and end date) the caretaker has the power and authority to make medical decisions of the minor.
4. What other details should be included in a Child Medical Consent?
The form may also include the following details:
- Assurances that the parent or guardian is legally allowed to make such authorizations
- Best interests of the child and the child’s health and well-being is a priority
- Financial responsibility will remain with the parents and the minor’s health insurance
- Governing law of the state that will apply with respect to medical services
- Religious or moral beliefs that should guide the caretaker and healthcare professionals