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Medical Authorization for Minors

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Sample Medical Authorization for Minors Form Template
Medical Authorization for Minors Basics

The medical authorization for minors document allows a parent to provide written authorization for another parent or responsible party to seek medical treatment for their child in their absence. The authorization will allow you to name multiple children, the person with authority over your children, and an alternate emergency contact if you, the parent(s), is not available.

Use the Medical Authorization for Minors document if:

  • You are granting temporary authority of your child(ren) to another person and wish to grant them medical authority over your child(ren)
  • You are going on a trip and will not be available to grant medical permission on behalf of your child(ren)
  • You want to name specific treatments which can be authorized by another person in your absence

Medical Authorization for Minors


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