• Authorization to Consent to Treatment of Unemancipated

  • A parent or legal guardian may want to consider providing written authorization for another person to give consent in advance for medical treatment for a minor child if you are not available to consent to care. This person could be a relative, a neighbor, a babysitter or other person designated by the parent(s) or legal guardian. An Authorization to Consent to Treatment of Unemancipated Minor Form can be used for this purpose. A copy of the written authorization should be retained by the person acting as your agent for your child and presented to the health care provider at time of treatment.

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