If a parent or legal guardian is unavailable to provide immediate medical consent for their child, a child medical consent form must be created. This document will allow a designated individual or entity to make necessary medical decisions while the parents or guardians are absent.

What is a medical release form for a minor?

A medical release form for a minor is a legal document that authorizes someone other than the legal guardian or parent to make medical decisions on behalf of your child in your absence. Such an individual can be a relative, friend, babysitter, step-parent, teacher, or caretaker.

The medical release form is required to:

  • Ensure the child receives medical care without the need for a parent or legal guardian to be physically present.
  • Detail any medical conditions, allergies, or specific treatments a child may require, ensuring personalized and accurate care.
  • Provide peace of mind knowing that your child’s health concerns will be addressed even when you’re not there.

How to create a medical release form for a minor PDF?

Creating a medical release form for a minor involves a few key steps:

  1. Find a competent individual – a trusted person who will represent the best interests of a minor and will be the authorized caretaker.
  2. Inform the caretaker of your child’s medical issues, such as allergies, surgeries, health issues, medical history, and current prescriptions or medications.
  3. Create a medical release form, including:

a) Full names, addresses, and contact details of the child, the parent/guardian, and the authorized caretaker.

b) A time frame of the authorization effectiveness.

c) The child’s medical history, including allergies, medications, and any ongoing treatments.

d) Names and numbers of emergency contacts.

e) A declaration authorizing the named caretaker to make medical decisions for the minor.

f) Signatures of both the parent/guardian and notarized to ensure its legality.

Medical Release Form Sample

* The template here is provided for reference only, and you should always talk to a professional for all legal matters

Use our printable medical release form for a minor to create a legal document that ensures your child’s health and safety. 

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