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Medical Treatment Authorization for a Minor Form

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Sample Medical Treatment Authorization for a Minor Form Form Template

Medical Treatment Authorization for a Minor Form Basics

Some children are accident prone, some will never make you worry, but all should be protected by a Medical Treatment Authorization for a Minor while you're away. You would only leave your children with a childcare provider or a parent or guardian you trust, so it's important they have the authorization to seek medical attention should anything happen. This Medical Treatment Authorization for a Minor authorizes a childcare provider or another parent or guardian to seek medical attention on behalf of your child should anything happen while under their supervision.

Use the Medical Treatment Authorization for a Minor Form document if:

  • To grant medical authorization to an adult who will be temporarily caring for your child.
  • To state the degree of medical authorization you are comfortable with, and to provide medical and contact information.



Other names for this document: Medical Authorization for Minors, Authorization for Medical Treatment for a Minor


Sample Medical Treatment Authorization for a Minor Form

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