FREE 8+ Sample Child Medical Consent Forms in MS Word | PDF

Every parent has to learn about child medical consent forms. Especially if your work demands that you travel a lot, or if you are assigned to work in another region or country, you will definitely have to be well versed with these forms.

In these types of situations, it is natural that you worry about your child’s safety and well-being, and instances in which your child would really require medical care and treatment while you are away is cause for great alarm: you cannot help but find yourself feeling fretful and helpless.

As a parent or guardian, only you have the capacity to certify that you are submitting or consenting to availing health care for your child. In your absence, however, there is a way for you to allow other guardians to arrange for your child’s needed medical services: a child medical consent form. Anticipate and prepare aptly by writing one out, and take these Sample Forms for your guide and reference.

Sample Child Medical Consent Form

Child Medical Treatment Consent Form

Child Travel Medical Consent Form

Blank Child Medical Consent Form Example

Child Guardian Temporary Medical Consent Form

A child medical consent form is the document that allows those that are looking after your child in your absence, to authorize your child’s medical care. These could be

• your child’s grandparents or other relatives,
• babysitters,
• daycare providers, even
• neighbors, or
• other temporary guardians.

It is synonymous with the following documents:

• medical release forms of minor,
• medical authorizations for minors, and
• medical treatment consent for minors.

Selecting Your Child’s Temporary Guardians

Do not leave your child under the care of just anybody. Be informed, selective, and cautious. Ensure that your child’s guardian is

• of legal age,
• genuinely concerned with your child’s well-being, and
• preferably certified to care for your child in your absence.

The safest selection would be your close relatives, for as long as your chosen relatives also have the above qualifications.

Authorized Child Medical Consent Forms

Only yourself as the parent or legal guardian can fill out a child medical consent form if, and only if, you are physically unable to see to your child’s medical care. Your authorized individuals then become your child’s patient representatives on your behalf.

Contents of Child Medical Consent Forms

Essentially, the document is a waiver for the people looking after your child. You are allowing them to make health care decisions and authorizations in your absence should your child need it. It should contain

• your name as the parent or guardian;
• your contact information;
• the name of your chosen patient representative;
• his or her contact information;
• your child’s name and date of birth;
• his or her medical history;
• his medication, if any;
• your medical insurance carrier;
• your preferred healthcare provider and facilities; and
• your signature.

Medical consent forms, like these Sample Medical Consent Forms, are used on the whole for people with dependents who are unable to decide for themselves the medical services that they need. Apart from minors, these could also be

• the elderly,
• mentally challenged, and
• the sick.

Medical Consent Forms versus Informed Consent Forms

Another type of form that expresses consent is an informed consent form. Informed Consent Forms signify participants’ expressed involvement in a clinical research or case work.

Emergency Child Medical Consent Form

Child Medical Consent Form Example

Minor Child Medical Consent Form in PDF

Notarized Child Medical Consent Form

Use any of these samples as your guide or easily select, print, and fill one out. To guide you further, see these Sample Consent Forms.