Traveling parents give consent to grandparents for medical decisions

Wednesday, March 2, 2011

Most descriptive blog title ever?  hahha, thats because I wanted other parents to be able to find this...because it took me awhile of googling to find what I was looking for.  So anyway, while getting a quick check up on my runny nosed kid today, it was suggested to me by our darling nurse that we could get it in writing that our parents had consent to make medical decisions for Booboo while we were out of town...which was the best advice I've received in the past 24 hours. 

After googling for a few moments, I finally stumbled across what I was looking for on mamapedia and wanted to share as well.  The last thing we want is for Booboo to have to go to the hospital while we are out of the country.  But even worse than that would be for him to get there and need ER care and it would be held up in red tape because we forgot to give authorization to his grandparents to make decisions for us when we can't be reached.  So we've typed up two versions of the following (one for each set of grandparents) and will have them ready...just in case, heaven forbid.


We, ________________, the parents of ______________ a minor, hereby authorize _____________________(grandparents), to act in our place and to give any consent that may be required for the care, treatment, or necessary surgery to cure or relieve my aforementioned child from any affliction requiring emergency or necessary curative treatment including surgical care while we are out of the country. We further represent that we will be responsible for all charges incurred.
Dated:___________


Parent/Legal Custodian Signature:_____________________________


Parent/Legal Custodian Print: _________________________________



Child's Family Doctor: _________________________________
Phone Number: ______________________________
Address: ____________________________________
 
It probably would be even better to get your signatures notorized, but from what I've read online - this usually suffices in an emergency.  We'll also make sure that we send his health insurance card and SS card with him too. 
Courtesy of at
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25 comments:

  1. DebAugust 28, 2012 at 10:38 PM

    Love this thank you! I was just googling the same thing and your post was almost at the top! Now to go find the statement that goes along with the notary...

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  2. MoJanuary 24, 2013 at 5:16 PM

    wonderful! I googled looking for this exact thing, and your site came up first! thank you so much!

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  3. RachelOctober 26, 2013 at 7:58 AM

    I was googling this as well. This was extremely helpful! Thank you soooo much!

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  4. AnonymousMarch 7, 2014 at 9:47 AM

    Nailed the title...thanks for taking the time to think that through and making it a one-link access. All the best rr

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  5. Jen BowersApril 27, 2014 at 6:36 PM

    Thank you very much :).

    ReplyDelete
  6. AnonymousAugust 20, 2014 at 11:42 AM

    Thank you. I needed this for a vacation two of my children are going on with my parents.

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  7. RebeccaJanuary 13, 2015 at 10:10 AM

    Thank you so much!

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  8. AnonymousJuly 3, 2015 at 8:28 AM

    thanks. I came across this right away and cut/paste right into google docs.

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  9. AnonymousJuly 13, 2015 at 12:20 AM

    Thank you for this info. I found it right away. Very helpful! BTW Perfect title :)

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  10. UnknownAugust 27, 2015 at 9:12 AM

    So useful! Thank you!

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  11. UnknownSeptember 25, 2015 at 3:18 PM

    I googled this and it was the first thing to come up. Save me lots of time! Thanks!!

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  12. Stephanie Brown PerriOctober 8, 2015 at 2:08 PM

    Thank you!!!

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  13. UnknownNovember 11, 2015 at 7:10 AM

    Thank you!

    ReplyDelete
  14. AnonymousNovember 11, 2015 at 7:11 AM

    Thank you!

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  15. AnonymousDecember 5, 2015 at 5:15 PM

    Thank you so much. This was just what I was looking for.

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  16. AnonymousJanuary 21, 2016 at 2:39 PM

    Definitely add date of birth for each child, and a consent to allow access to your children's medical records. You may also consider putting a time frame on the authorization. Get a notary to stamp it.

    Here is my updated version, for example purposes only: (consult a lawyer in your home state)
    Ken and Jane Smith
    98 Main St.
    Hometown NH
    03301
    January 15, 2016

    I, Jane Smith, the parent and legal guardian of Brian (DOB: 2/18/2007), Carter (DOB: 6/1/2011) and Danielle “Dani” (DOB: 1/8/2014), minors, hereby authorize Jane Colliet (Grand Mother), John Smith (Grand Father), and Sally Smith (Aunt) to act in my place and to give any consent that may be required for the care, treatment, or necessary surgery to cure or relieve my aforementioned children from any affliction requiring emergency or necessary curative treatment including surgical care while I, and their father Ken Smith, are out of the continental United States (Jan 16-20). In addition, those authorized above are also given consent to access medical records for Briana, Carter and Dani, in the event such access is needed to further medical care. We further represent that we and our insurer will be responsible for all charges incurred.

    Dated:___________


    Parent/Legal Custodian Signature:_____________________________


    Parent/Legal Custodian Print: _________________________________



    Child's Family Doctor: _________________________________
    Phone Number: ______________________________
    Address: ____________________________________

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  17. AnonymousApril 8, 2016 at 10:26 AM

    This is exactly what I needed - Thank you !

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  18. AnonymousJune 13, 2016 at 12:46 AM

    You made this so easy and I thank you for the help.Cathy

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  19. AnonymousAugust 19, 2016 at 9:55 AM

    Perfect!! Thanks!

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  20. AnonymousSeptember 13, 2016 at 5:22 PM

    EXACTLY what I needed!! THANK YOU!!!

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  21. AnonymousSeptember 14, 2016 at 11:36 PM

    do you need to get it notarized?or will they accept you anyhow I rather just keep it plain and simple...

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    Replies
    1. Tabitha StuderSeptember 20, 2016 at 2:36 PM

      You don't have to; I didn't and it worked fine - but it wouldn't hurt to get it notorized just in case :)

      Delete
  22. AnonymousNovember 20, 2016 at 10:35 PM

    thank you!!!!!!!!!!!!

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  23. AnnaApril 4, 2017 at 11:01 AM

    Thanks! This was exactly what I was looking for!

    ReplyDelete
  24. Lori Logan VanceJune 29, 2017 at 10:18 AM

    This is incredibly helpful! Thank you for writing this post and for having such a detailed title so that I could easily find it in my Google search.

    ReplyDelete