Using LawDepot’s user-friendly questionnaire lets you create your Child Medical Consent form by completing the following steps:
1. Appoint a caregiver
Include the name and address of the temporary caregiver. If you like, there can be more than one person you give this authority to. Just be sure to include both their names and details on your form. Common choices for temporary caregivers include:
- Grandparents or other family members
- Daycare or childcare providers
- Nannies or babysitters
- Teachers
- Coaches
2. Give parent or guardian details
Provide your name(s) and address(es). Your consent form should include both parents, if applicable. If one parent has passed, or you have full custody, then you only need to complete and sign this section.
3. Provide your child’s details
When you’re providing your child’s name, you’ll need to include a complete description of the following information:
- Gender
- Date and place of birth
- Address
- Medical details (i.e., illnesses, conditions, allergies, medications, etc.)
Some optional details you can add to your consent form include:
- Any health insurance or healthcare card
- A current family doctor (if applicable)
- Emergency contact details
4. Complete medical consent details
Next, you need to outline what authority you’re giving your child’s temporary caregiver. You’ll need to consider the following questions:
- Can they consent to emergency or routine medical treatments?
- Can they access your child’s medical records?
Your consent will include diagnostic and surgical procedures, dental treatment, and blood transfusions unless you state otherwise on your form. Please list in detail anything you do not wish your temporary caregiver to authorize in your absence.
5. Specify when the authority begins
When you create your Child Medical Consent form, you can choose when the consent will start and decide if it will have a specific end date. For example, you can create a limited time of consent if your child travels without you by simply setting the day they return home as the end date.
If no end date is selected, your temporary caregiver can continue to have the authority until you revoke it with a written notice to them and any other parties that need to know, such as your family doctor.
6. Signing details
Provide the signing date and the location where you’ll sign your consent form. If you wish to have it notarized, our template allows you to select that option for your final document.
Both parents or guardians, if applicable, should authorize the consent by signing the completed form.