i need a blank consent form so that my grandparents can have my child treated if needed while he is visiting?

Answer 1

all u need to do is write a letter stating he is visiting and they have ur promission to get him treated if hurt... or sick and the dates when and ur signature on it and they will have no problem i did it for my dad

Answer 2

Child Care Facilities have these forms. Also office supply stores have legal forms, if they don't have the one for care of a child, they do have a Limited Power of Attorney that allows you to have your grandparents sign for anything regarding your child, medical, school, etc. during a particular time period.

Answer 3

Cut and paste the following website onto your search engine. It will take you to a site where you can download a parental consent to a caregiver for treatment.

http://www.stvincent.org/ourservices/childrens/resources/parentalconsent/default.htm

Answer 4

Hi I have a progfram called Family lawyer it has all kinds of docs. I know exactly what you need. feel free to email me and i will forward one to you.

Answer 5

You can just write a letter and get it notarized. I know because that's what my moms had to do when she and my sister went away, and I stayed with my older sister.

Answer 6

I (your name here) give (grandparents name here) permision to treat (childs name here)
(sign here)

feel free to elaborate more:)

Answer 7

AUTHORIZATION FOR MINOR'S MEDICAL TREATMENT



Child

Full Legal Name: ___________________________________________________________________
Date of Birth: _______________________ Age: ___________ Gender: ___________



Doctor’s Information
Doctor’s Name: ____________________________________________________________________
Doctor’s Address: __________________________________________________________________
Doctor’s Office Phone: ____________________ Doctor’s Emergency Phone: __________________
Medical Insurer/Health Plan: __________________________ Policy #: ______________________
Allergies to Medications: _____________________________________________________________
Allergies (Other): ___________________________________________________________________
If applicable, please note the conditions for which the child is currently receiving treatment:
_________________________________________________________________________________
Note any other significant medical information:
_________________________________________________________________________________
_________________________________________________________________________________



Dentist’s Information
Dentist’s Name: ____________________________________________________________________
Dentist’s Address: __________________________________________________________________
Dentist’s Office Phone: ____________________ Dentist’s Emergency Phone: __________________
Dentist’s Insurer/Health Plan: __________________________ Policy #: _____________________



Parent(s)/Legal Guardian(s):



Parent #1:
Name: ___________________________________________________________________________
Address: ________________________________________________________________________
Home phone: __________________________ Work phone: ____________________________
Cell phone: ____________________________ Pager: _________________________________
Email: ________________________________
Additional Contact Information: _______________________________________________________
_________________________________________________________________________________

Parent #2:
Name: ___________________________________________________________________________
Address: ________________________________________________________________________
Home phone: __________________________ Work phone: ____________________________
Cell phone: ____________________________ Pager: _________________________________
Email: ________________________________
Additional Contact Information: _______________________________________________________
_________________________________________________________________________________



Alternate contact in the event Parent(s)/Legal Guardian(s) cannot be reached:
Name: ___________________________________________________________________________
Address: ________________________________________________________________________
Home phone: __________________________ Work phone: ____________________________
Cell phone: ____________________________ Pager: _________________________________
Email: ________________________________
Additional Contact Information: _______________________________________________________
_________________________________________________________________________________




AUTHORIZATION AND CONSENT OF PARENT(S) OR LEGAL GUARDIAN(S)



I do hereby solemnly swear that I have legal custody of the aforementioned minor child.

I grant my authorization and consent for _________________________________________ (hereafter “Supervising Adult”) to administer general first aid treatment for any minor injuries or illnesses experienced by the minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Supervising Adult to summon any and all professional emergency personnel to attend, transport, and treat the participant and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur.

It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Supervising Adult in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel.

This authorization is effective commencing on the ______day of ____________________, 20_____ and expiring on the ______day of ____________________, 20____.


Signed this ______day of____________________, 20 ____.




______________________________________
Parent #1’s Signature




______________________________________
Parent #2’s Signature




CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC



STATE OF __________________
COUNTY OF ________________



This document was acknowledged before me on ______________________ [date] by ________________________________________________ [name of principal].



[Notary Seal, if any]:

_______________________________
(Signature of Notarial Officer)

Notary Public for the State of ______________

My commission expires: __________________