Child medical consent
Authorise another adult to arrange medical care for your child when you cannot be reached.
Let another adult agree to medical care for your child.
- Personal / Legal document
How to get this document
Ready to use
Ready-to-use document + 1-hour consultation
$50.00
Placeholder price — not a confirmed price.
Download the ready-to-use document and get a one-hour consultation with a specialised lawyer.
- The document as a file you download
- A one-hour consultation with a specialised lawyer
- A standard version you complete yourself
Lawyer prepares it
Still not sure? Talk to a lawyer
$70.00
Placeholder price — not a confirmed price.
Don’t worry: book a consultation, tell the lawyer what you need, and they will prepare the document for you.
- A consultation with a specialised lawyer
- You describe what you need, in your own words
- The lawyer prepares the document for you
Key features
Reach me first
A section asking to be contacted before non-urgent care, with your phone, a second contact and what to do if you cannot be reached.
What the consent covers
Examination, tests, treatment, medication, anaesthetic and admission, where a professional considers it appropriate.
Limits you set
A blank for anything excluded, such as a procedure you want to be asked about whatever the circumstances.
The child's medical details
Doctor, allergies, conditions, current medication with doses and immunisations.
Information and payment
The adult may receive the child's health information, and you agree to reimburse what they pay.
About this document
A child medical consent lets a parent or guardian authorise another adult, such as a grandparent, caregiver or family friend, to arrange and agree to medical, dental, surgical and mental-health care for their child if the parent cannot be reached in time.
It is a blank form to complete by hand. It records the child's medical details, insurance and your contact numbers, and asks to be contacted first for anything other than urgent care. Whether a provider accepts it, and what it needs to be signed, witnessed or notarized, varies by state and by provider.
Is this document right for you?
Useful when
- Your child will stay with someone else for a time
- A caregiver may need to take the child to a doctor
- You want a school trip adult or relative to be able to act in an emergency
Commonly used by
- Parents leaving a child with relatives
- Separated or travelling parents
- Families with regular carers
Not sure? about your situation first.
Alternatives
These are separate documents, for different jobs.
- Power of attorney for childLet another adult act for your child while you're away.View document
- Child Travel ConsentAuthorize a child to travel without a parent.View document
- Childcare agreementsSet the terms of care with a nanny or childcare provider.View document
- Medical records releaseAllow a named person to receive your medical records.View document
When to use this
- A child spends a summer with grandparents
- A parent is travelling and out of reach
- A babysitter or nanny might need to get urgent care
What happens next
Ready to use
Choose your document
Pay
Download
Book your consultation
Lawyer prepares it
Pay
Tell us what you need
Talk to a specialised lawyer
They prepare your document
Need it signed? Sign online with eSignature
Need this document for your specific situation?
Get personalized legal help from a qualified attorney through ArieFirm.
More in Children & Parenting
- Child Travel ConsentAuthorize a child to travel without a parent.View document
- Child Visitation LetterConfirm visitation arrangements for a child in writing.View document
- Birth Plan TemplateRecord your preferences for labor, delivery and newborn care.View document
- Childcare agreementsSet the terms of care with a nanny or childcare provider.View document
Ready when you are.
Questions
About the child medical consent
Not necessarily. Providers and states differ on what they accept. It is sensible to check with the child's doctor and to keep a copy with the child's insurance details.
Still have a question? .