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.
Document Type: Microsoft Word
Last Updated: 10-September-2022
SKU: 7686
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