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Free Louisiana Medical Treatment Authorization for a Minor

This authorization is used by a parent to authorize a child care provider, parent, or other responsible person to obtain medical treatment for a child.

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Medical Treatment Authorization for a Minor

 

The Medical Treatment Authorization for a Minor document is used by a parent to authorize a child care provider, parent, or other responsible person to obtain medical treatment for a child. For example, if a parent will be separated from a child for a few days or even a few hours, the parent may wish to give the care provider some medical instructions and the authority to obtain at least emergency medical treatment.

In addition to granting the authority to obtain medical treatment, this document also allows you to provide information regarding a physician, a preferred hospital, health insurance, and medications. It is also recommended that you provide contact information for the parent(s).

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Reasons to create a
Louisiana Medical Treatment Authorization for a Minor

 
- You want to grant medical authorization to a person having temporary responsibility for your child.
- You want to state the amount of authorization and to provide medical and contact information.
- You or your child are taking a trip or will be separated for some other reason and the person responsible for your child needs authority to seek medical treatment.
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