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    Authorization for Medical Treatment of Minor Child | USA


    Authorize your child's teacher, tour coordinator, sports coach, daycare worker or other responsible adult to get medical treatment for your child with this Parental Authorization form.

    • The form authorizes the adult carer to:
      • administer first aid to the child in the event of a minor injury,
      • procure emergency medical care if required, and
      • give consent for the child to have x-rays, diagnosis or treatment if considered necessary by an attending physician.
    • Available in MS Word format.
    • This form was prepared for use in the United States.
    Download Type: Microsoft Word
    Last Updated: 10-September-2022
    SKU: 7686
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