Medical Consent Form for Minor

Most doctors require medical consent to perform medical procedures or specific treatments. For minors, it’s parents who provide consent to any child’s medical treatment.

In the event that a child needs emergency medical care and a parent or guardian cannot be present at the hospital to give consent to treatment, a minor child may not receive the medical care they need on time.

With a caregiver consent form, parents transfer their authority to decide on health care treatment of a child when they are not nearby. That is why a child medical consent form is a legal document any parent must consider preparing in advance.

Children’s medical consent forms give the right to the person specified in the document to temporarily be a child’s guardian in a medical institution and resolve issues related to their medical care.

This document gives permission to close people or a person responsible for the child, such as a nurse, baby-sitter, teacher, trainer, or grandparents, to provide a child medical consent on behalf of a parent.

Apart from Child Medical Consent Form, you can come across such document name variants:

  • Medical Authorization for a Minor
  • Child Medical Release Form
  • Medical Consent for Minors
  • Caregiver Consent Form

Without this document, the doctors are limited in the medical help they can provide. A medical consent form for minors is a proper way to protect your child from unforeseen events and safeguard a child’s access to medical attention without delays in the event of an emergency.

According to the law, when the minor requires medical treatment, the doctor must receive signed parental permission from a child’s parent or legal guardian.  However, the reality is that parents cannot always be near when an emergency occurs. That is why parents often appoint a designated person who could represent the child’s interests on their behalf in the hospital.

For the most part, a child medical consent form is needed in cases where children are under the supervision of adults other than parents, meaning that they do not have the legal right to make any medical-related decisions on their behalf.

Here are the most common cases when it is worth finding a caregiver to act in your child’s best interests:

  • School trips, travels, or sports contests. No one is immune from unexpected accidents on the road or while on vacation. Make sure the person in charge of your child—teacher or coach—can provide timely help to your child’s health while you are away.
  • The child is in a daycare center. If most of the time your child is in the child care center or at home with a nanny, it is crucial to provide the responsible adult with the ability to make emergency decisions in case of an accident.
  • Traveling parents or parents are away due to business travel. Make sure the reliable person (even if it is a grandparent) you’re leaving your child with has the right to decide on health-related issues for your child in your absence to avoid delays in treatment.
  • The child’s parents are divorced or separated. In some cases, the parents agree beforehand on who obtains the legal authority on medical decisions for a child.  Having a child medical consent form will allow children to receive medical treatments regardless of whom they are staying with.
  • The child has a stepparent. The stepparent has limited rights over the child. They will not be able to give the medical treatment authorization for the child, even for less severe cases, such as a sprained leg or broken arm.

This list includes occasions when a healthy child may need a form. If a child suffers from chronic diseases, allergies, or other medical issues, it is obligatory to have this legal document.

To avoid any possible risks and ensure that you assign a temporal caretaker for your child in a lawful manner, consider some essential things listed below. Without them, you can inadvertently put your child in danger of not receiving proper and timely treatment.

  1. Identify someone you can trust. Depending on the situation, this could be a coach, teacher, nanny, or a close friend of yours. It must be an adult in the proximity of a child who can be beside them in the absence of a parent.
  2. Bring the temporary guardian up to date. Suppose a child has specific illnesses, allergies, or other medical issues in their medical history. In that case, the authorized person must be aware of them in order to be able to react promptly and inform the doctors.
  3. Determine the expiration date. Such documents give only a temporary right to represent the child’s interests, so decide in advance how long the document will need to be valid.
  4. Sign and notarize. Medical Authorization for a Minor form cannot be agreed upon orally. The document that is concluded without the presence of a notary public will be considered invalid.
Template Preview
Download your fillable Medical Consent Form for Minor in PDF.

If you need a consent form for a minor, you can download the template from our website. To avoid any possible mistakes, follow this short guide on how to fill it out duly:

Step 1

In the first part of the form, write down the date when the document is signed and the name of the applicant who authorizes the consent form—parent or legal guardian.
Step 1 to filling out a child medical consent form date and names

Step 2

The next part includes people who partake in a form—the Child, Parent, and Care Provider. The child medical consent form must be written in the name of the parent or legal guardian. In the same section, provide the information regarding the child—their name and date of birth. Under Care Provider, write down the name of the entrusted person who will take care of your child in your absence.
Step 2 to filling out a child medical consent template main info

Step 3

In the same section, you must clear out the adequate time when the document will hold the legal power. Mention both start and end dates.
Step 3 to filling out a child medical consent form start, end dates

Step 4

The document must contain a child’s medical history. The child’s medical consent form must specify all the child’s medical records: known conditions, doctor’s contact information (phone number and name), prescribed medications, vaccination history, allergies, preferred hospital, and any additional information corresponding to the child’s health. Be sure to provide the most up-to-date and actual data so that the child can get the proper treatment and medical attention in case of any event.
Step 4 to filling out a child medical consent sample medical history

Step 5

The following section provides the essential insurance information, including insurance name, policy number, group number, and the insured’s name. Ensure all the fields are filled in with correct information for a document to be authorized in the medical institutions.
Step 5 to filling out a child medical consent form insurance info

Step 6

Lastly, a parent or legal guardian must authorize the child’s medical consent form with their signature, date, and printed name.
Step 6 to filling out a child medical consent example authorization


Is a child medical consent form enough for traveling?

A child’s travel often requires both child medical consent and child travel consent forms to ensure maximum child protection from unforeseen events. Also, it can be enough if the child travel consent includes a medical release section. However, if this section is absent, provide a caretaker with the ability to decide on a health care treatment for a child when necessary.

Will a child consent form allow my child to get medical treatment in a different state?

This document is state-specific, which implies that it will be authorized in most states if it is issued in accordance with the laws of the state. However, there are states where a parent or legal guardian must provide the power of a lawyer for a caregiver to have the right to resolve the child’s medical issues.

Does child medical consent make me give up my parental rights?

Absolutely not. The child medical consent form only gives a designated person temporary rights to make medical decisions.

How do I terminate the child medical consent?

The end date of the document’s validity is usually indicated on the form. However, you’re entitled to revoke or repeal the document at any time. To do so, you will need to notify the temporary caregiver and medical personnel about the change in the status of the guardian.

Published: Jun 6, 2022