Wishes and Messages

Letter giving authorization medical care child

  1. Home
  2. Anniversary Wishes For Parents
  3. Letter giving authorization medical care child
Letter giving authorization medical care child
September 12, 2018 Anniversary Wishes For Parents 2 comments

do hereby consent to any medical care and the administration of for the welfare of my child while said child is under the care of by telephone to give consent.

Sample Letter #1


John and Jane Doe grant permission to Eric Johnson to act on our behalf to authorize necessary medical treatment for our son, Robert, while we are traveling abroad. This authorization is effective until July 30.

NOTE: Make sure you sign and date this form!

Sample Letter #2


Enclosed is a signed medical treatment authorization form giving you authority to make decisions and seek medical treatment for John Doe, Sr. from July 15 to July 31, while I am traveling abroad. I prefer that emergency treatment be given at Doe Hospital, if possible. You can reach me by phone at 555-5555, if necessary. I appreciate your accepting this responsibility.

NOTE: Make sure you sign and date this form!

Sample Letter #3


I authorize Doe Arms nursing home to administer emergency medical care to my mother, Jane Doe, in the event that I cannot be reached. This authorization extends only to times and circumstances in which my mother is in the express care of Doe Arms, in accordance with the terms of the care contract. Any non-emergency care must be authorized by me, on a case-by-case basis.

NOTE: Make sure you sign and date this form!

Sample Letter #4


In the event that I cannot be reached, I give my permission for the Sunshine Daycare Center to authorize emergency medical treatment that a physician deems necessary for the welfare of my infant son, Eric. Sunshine Daycare is limited to authorize emergency care only. This authorization is effective through April 15, 2019.

NOTE: Make sure you sign and date this form!

Sample Letter #5


By this letter I authorize Doe Memorial Hospital to perform appropriate emergency medical care for my son, Fred Doe. For non-emergency medical care, I appoint Eric Doe as my legal representative and authorize him to make decisions regarding medical treatment for Fred should I be out of town. These authorizations are valid until I revoke them in writing.

NOTE: Make sure you sign and date this form!

Related Articles

Related Resources

Guide to Write This Letter ❯

The grandparents' medical consent form allows a parent or legal guardian to hand over all responsibility regarding their child's health care decisions to one of .

"+(!(false)?"Free ":""))+vh.GE("questionsLayout--ProductName"))+"

letter giving authorization medical care child

Most of the time, kids' accidents and emergencies are entirely unpredictable and unexpected. Of course, you don't plan on your child falling and breaking a bone while he's with a babysitter, or needing emergency care for an allergic reaction when he's staying with grandma. These incidents catch caregivers off guard, too! That's why you need to provide a medical release form to anyone caring for your child in your absence. This simple form gives clear, irrefutable consent for medical treatment.

If you cannot be reached by phone, text, or email, the form can be used in the event that your child suffers an injury that requires medical treatment. It is one of the most important steps any parent can take to ensure your children are safe, even when you're not around.

Why You Need to Sign a Medical Release Form for Your Minor Child

Hospitals have to treat everyone who comes through the door, right? That isn't necessarily true, especially when it comes to children. Many urgent care facilities and emergency rooms will not treat minor children unless:

  • A parent is present
  • A parent has given consent in writing
  • The child's life is in danger

That means that injuries or illnesses that aren't life-threatening may not be treated. Say your son suffers a broken bone on the playground while you're at work or out of town. You don't want him to have to wait for treatment—including pain relievers—until you can be reached. 

Printable Permission to Treat Form

The St. Louis Children's Hospital has a free "Permission to Treat" form that you can download and print. It is a simple, one-page document that includes all of the relevant information caregivers and medical staff need to treat your children when you're not present.

  1. Start by printing one copy of the medical release form for each child.
  2. Fill out the form completely. If you share custody or parenting responsibilities, be sure to include the other person's information and let them know that you're taking this step.
  3. Have the form notarized so it is legally binding. Do not sign any copies of your kid's medical consent forms until you're in the presence of the notary public. Signing them too early will nullify the entire process and you'll have to start over.

If you share legal custody with your child's other parent, make arrangements to have the form notarized together so you can both sign it. This is the best way to indicate that you both give consent for your child to receive treatment in the event that neither of you can be reached in an emergency.

Ensure the Medical Release Form Is Accurate and Legal

This is an important document; double-check that everything's correct. There are a few additional steps you should take to ensure your child has access to health care if you are not available.

  • Verify all of the phone numbers on the form.
  • Include primary and secondary insurance information.
  • Consider having multiple copies notarized for each child.
  • Keep notarized copies (not photocopies of the original) in multiple places. File one at your home, at your ex's home, and place one in your child's backpack. It's also best to keep a copy anywhere your child frequents on a regular basis, such as a babysitter's house.
  • Review the forms annually. If key information has changed, print new copies and start over. It's vitally important that all of the information be accurate and up to date.

Thanks for your feedback!

how to write a bill for payment
I have my heart
accepting offer letter email sample
Invitation by email sample
how to write a long love letter
Some rhyming words for poems
happy anniversary cards for boyfriend
Nomination letter examples for awards

Child Care Authorization basics

letter giving authorization medical care child

A guardianship is not always necessary. A parent or both parents may need another adult or relative to take care of their children for a while (like if they are worried they may be separated from their children for immigration reasons, or if they are unable to take care of their children temporarily). If the parents want to sign papers giving another adult the right to take care of their children they may not need a guardianship.

If the parents agree to let another adult take care of their child, they are not dangerous to the child in any way, and want to avoid having to go to court:


  • They can sign a Power of Attorney for a Minor Child in front of a notary that gives another adult physical "custody" of the child and lets that person make decisions about the child's education and medical care.
  • The adult caring for the children should make sure to have the child’s health insurance information. To add the child to their health insurance, they will probably need a court-ordered guardianship of the person. Most insurance companies will not cover a minor who is not the child of the insured without a court order.
  • The parents can cancel the Power of Attorney at any time.


If the child will remain in California, the person taking care of the child can complete and sign a Caregiver's Authorization Affidavit:


  • If the person taking care of the child is a relative of the child, this form lets him or her enroll the child in school. It also gives the relative the same rights as a guardian to get medical care, including mental health treatment, for the child. The back of the affidavit has a list of which relatives qualify under this law.
  • If the person taking care of the child is NOT a relative, this form still lets him or her enroll the child in school, but they are only authorized to make medical care decisions that are school related (like immunizations or physical exams required by the school for enrollment).
  • The Caregiver's Authorization Affidavit is not an official court form.
  • The parents do not have to sign the Caregiver's Authorization Affidavit but they can cancel the affidavit at any time.
  • If the child is no longer living with the caregiver, the affidavit is not valid. The caregiver must notify the school and health care provider if the child is no longer living with him or her.


Get a Caregiver's Authorization Affidavit and instructions.  Make sure you read Family Code sections 6550-6552 and Probate Code sections 2353 and 2356 to learn about the specific requirements under the law.

Keep in mind that you may not be able to meet all the child's needs with the Caregiver's Authorization Affidavit or a notarized letter from the parents:


  • Schools and medical facilities are required by law to accept the Caregiver’s Authorization Affidavit, but it is possible you may come across a lot of resistance and may decide that it is easier to go to court and get a court order giving you legal guardianship.
  • The parents can cancel these forms or their letter at any time and take the child, even if it is not safe for the child.
  • It may be hard for you to get medical insurance for the child unless you are the legal guardian.  Most insurance companies will not allow you to add the minor to your insurance unless you have a court order making you the guardian.


This form ensures that person can get your child proper medical care. If a parent or legal guardian is not traveling with their kid, the document is.

Free Child Medical Consent Form

letter giving authorization medical care child

Solo Parents, Grandparents and Guardians can satisfy legal requirements before crossing international borders with minor children by using these Permission to Travel Letter and Children’s Consent forms.

The Family Travel Forum community has learned the hard way that you need this paperwork: in the special FTF report “Permission To Travel Letters And Why You Need Them,” we interview consular officers, immigration agents and tourism officials to explain why.

Learn more:

•  Permission to Travel or Consent to Travel Letter

Whether you’re married and leaving a spouse behind to work; grandparents taking grandchildren on vacation; same sex couples with adopted children; a divorced parent on a road trip to Canada -– even a military family trying to reunite for a holiday — you should be carrying notarized copies of the proper Children’s Consent Forms or Permission to Travel documentation. This is the form to use if you’re friends and family traveling with a minor child.

•  Minor Consent to Travel Form

The same regulations apply to minors under 18 who are leaving the United States with school groups, teen tours, or friends on a vacation. If the supervisors of your child’s tour have not provided their own, you can use the email request form below to obtain a sample one. This is the form used for school / tour groups who are supervising travel with your minor child.

•  Medical Treatment Authorization Letter

Additionally, FTF recommends that travelers vacationing with children other than their own carry a Medical Treatment Authorization Letter assigning them responsibility for a child’s care in case of medical emergency. This optional affidavit does not have to be notarized but we strongly recommend you also carry a copy of the minor child’s health insurance information..

Obtain the Necessary Forms Now

A sample of each of these forms may be requested via the email form below. Please note that new Canada regulations request adults entering the country with minors carry a photocopy of the signature page of the passport belonging to the guardian whose signature is on the permission letter.

Additionally, the country of South Africa requires much more stringent paperwork for minors traveling by air, sea or land into and through the country. See a full list of Requirements for Children Travelling Through South African Ports of Entry.

Before you head out on a family vacation, protect your loved ones with much-needed travel insurance. Kids traveling with parents or grandparents are also insured free through Allianz when traveling on a family vacation.

Get Blank Consent Forms & Required Documents Now

Crossing borders with children is serious business, and Permission to Travel, Medical Treatment Authorization and Consent for Minor Travel Letters could save your next vacation.  To obtain them, please complete the following request, then check your email inbox and/or spam filter. Your reply email includes instructions to download three forms that you can fill out and use. Remember that Permission to Travel Letters and Consent Forms for Minor Travel should be signed and notarized. Keep blank copies to use on future trips.

To keep you up-to-date with ever-changing travel safety and security regulations, you will be subscribed to the FTF travel alerts e-mail list  You may unsubscribe at any time. We do not sell, barter or trade your personal information. Read Family Travel Forum’s Privacy Policy if you have concerns.

And most importantly, safe there and safe home!

Don’t Forget! A Few More Tips!

Be sure your child carries two copies of every notarized document (even a photocopy may work) in case an immigration or border official decides they need to keep one for their files.

•  Additional Travel Documentation and ID

Regardless of where you travel outside the United States, when you are crossing a border by land, sea or air you will need to have proper identification documents for each traveler in addition to the above letters.  Please see the Customs & Border Protection Site if you are unsure about the type of ID documents you and your family need.

•  Additional Useful Papers

A March 2019 report by Scott McCartney in the Wall St. Journal noted some other documents which might prove essential, depending on the destination. These include an original, raised stamp birth certificate for each minor in your party, extra passport photos on white backgrounds, plus about US$50 in small bills so that you can purchase entry visas on the spot. Be sure to assign a neighbor or relative back home the responsibility of retrieving some of these documents and sending them, if you need them after departure.

•  Travel Insurance Really Works!

If you’re prepaying a big vacation with flights, hotels, cruises or any other non-refundable fee — or just worried about a “what if” moment when traveling with someone else’s child — getting a family travel insurance policy is a good investment, and costs less than you think.

If you have any questions or would like to read more about why these papers are requirements and how rules are enforced, read “Permission To Travel Letters And Why You Need Them.”

If you’re still unsure, feel free to get in touch with our office and we’ll do our best to help out. Thanks for your attention to this critical matter!

Protect your child's health when they're in someone else's care. Create a free Child Medical Consent form and authorize a caregiver to make healthcare choices for your Am I giving up my parental rights by using a Child Medical Consent?.

letter giving authorization medical care child
Written by Tezil
Write a comment