Free Child Medical Consent Form
Child medical consent allows parents and legal guardians to grant authority over their child’s healthcare decisions to a caregiver. Create your own printable, free child medical consent form now.
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Last Update November 17th, 2023
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What Is a Child Medical Consent Form
A child medical consent form is a legal document used by parents and guardians to grant healthcare decision-making authority to non-parental caregivers. It may also be commonly known by one of its alternative names, such as:
Emergency medical consent form
Minor medical consent form
Caregiver consent form
Parental medical consent form
Medical treatment authorization form
Child medical release form
When Is a Medical Consent Form Needed for a Minor
In many cases, a child medical consent form is needed if a minor is will be under the care of a caregiver - such as daycare staff or a family friend - for a prolonged period of time. The form grants the holder parental consent over medical and healthcare decisions that may need to be made during the care of the child.
In most cases a medical consent form is usually necessary if any of the following is true:
The child is under 16 years old.
The child is attending daycare.
The child will travel or spend a period of time with a non-parental care provider.
Parents need to leave their child in the care of someone else temporarily.
This can be especially important if the minor in question has any medical problems such as allergies and illnesses that could require urgent treatment.
An authorized child medical consent form ensures the caregiver has the authority needed to seek medical help and make child healthcare decisions for the minor so they can quickly respond to emergencies.
Basic Information to Include in a Child Medical Consent Form
To complete a child medical consent form, it is necessary to include some important information about the child, parents or guardians, and the selected caregiver. This allows the final document to be legally effective so it can be used properly.
The details that must be included on the form are as follows:
Name(s) and address(es) of the child’s parents or guardians
Name(s) of the child/children
Birthdate(s) of the child/children
Health information about any children listed
Name of the temporary guardian
Permitted medical treatment
The form’s end date (as required in some states)
Witnessed and notarized signatures of the parents or guardians
How to Write a Child Medical Consent Form
A child medical consent form must be carefully written in order to be valid. This process can be made simpler by using our online form template and instructions to fill in the right data.
The step-by-step guidelines will assist you in adding the correct information and completing the template effectively. It will also provide further instructions on what to do when the form is completed and ready to print and sign.
Alternatively, the form can be drafted and completed by a lawyer. This, however, is a more costly and time-consuming approach. The parent or guardian may also complete a preprepared template by hand.
Child Medical Consent Sample
Before starting a child medical consent form, it is a good idea to familiarize yourself with what the finished template will look like. Use our sample document below to get a better idea of how your completed form will appear.

Child Medical Consent FAQs
There are many important considerations to be mindful of when creating a child medical consent form. Use our selection of FAQs below to get to grips with the requirements of these essential legal documents.
Where to Find a Child Medical Consent Form?
Child medical consent forms can be found and completed online. Our own pre-prepared template and guidance instructions can help you through each step of the process.
This will help you avoid common mistakes and include the essential information needed for this kind of document. Once the form is completed it just needs to be printed off, signed (in the presence of two witnesses), and notarized.
When Is it Necessary to Notarize a Child Medical Consent?
Yes, a child medical consent form must be witnessed (by two witnesses) and also notarized. This is a crucial step when putting your document into effect properly.
To sign the form correctly, the parents signing the form must gather their witnesses and write their signatures on the form in the presence of a notary public.
This is so the identities of the parents can be correctly verified and to ensure that no court orders have been taken out against the parent or guardian signing the document.
How to Choose a Temporary Guardian for a Child Medical Consent?
The most important consideration when completing a child medical consent form is choosing a caregiver you trust. They must be over 18 years old, they should demonstrate a clear concern for the wellbeing of your child, and ideally should align with your moral beliefs and healthcare choices.
What Is The Difference Between a Child Medical Consent Form and a Child Travel Consent Form?
Child medical consent forms and child travel consent forms are both important documents when granting parental consent to a caregiver. However, they are quite different in their individual uses.
A child medical consent form may only be used to permit caregivers to make medical decisions for a minor. Travel consent forms on the other hand are used to allow a child to travel alone or with someone who is not their parent or guardian.
In many cases, however, both forms may be required if a child is to travel across states or internationally without their primary caregiver.
How Can I End the Authority of The Temporary Caregiver?
In most states, child medical consent forms include an expiry date, which will usually be 6-12 months after the document is signed. When this time is reached, the temporary caregiver will no longer have any authority to make medical decisions for the child in their care.
Also, in the majority of states, medical services and healthcare organizations will not accept consent forms that are indefinite in basis. This is because they are not seen to be valid or enforceable as ongoing guardianship can only be approved by the courts.

You are only a few steps away from your own Child Medical Consent Form!