Authorization for Minor Medical Treatment Template

What Is the Authorization for Minor Medical Treatment?

This legal document grants a trusted caregiver temporary authority to consent to medical, dental, and emergency care for your minor child. It provides essential authorization that hospitals, doctors, and emergency rooms require before treating children when parents aren't present.

The authorization includes detailed medical information, insurance details, emergency contacts, and specific restrictions on procedures you want to control personally. It protects both your child and caregiver by establishing clear legal authority and preventing treatment delays during emergencies.

 

 

Is This Authorization for Minor Medical Treatment Right for You?

You need this agreement if you're:

• Traveling without your child for work or vacation
• Using regular babysitters, nannies, or au pairs
• Leaving your child with grandparents or relatives
• Sending your child to camps or extended programs
• Divorced parents granting authority to new partners
• International travelers needing backup medical authorization

You definitely need this agreement if:

• Your child has chronic conditions requiring ongoing care
• You're unreachable for extended periods (military deployment, remote work)
• Your child takes daily medications that caregivers must manage
• Emergency rooms have refused to treat your child without parental consent
• You want to protect caregivers from liability for medical decisions

 

 

Why Thousands Trust Legal GPS Templates

Save Money: Skip the $500-1,000 attorney fees for a simple authorization document.

Save Time: Download instantly and complete in 15 minutes with step-by-step guidance.

Look Professional: Attorney-quality formatting that medical facilities recognize and accept immediately.

Keeps You Out of Court: The Indemnification and Liability article protects caregivers from lawsuits when they make good-faith medical decisions.

 

 

 

Get Protected in 3 Simple Steps

Step 1: Secure Checkout

Complete your purchase through our encrypted payment system. Receive your template immediately via email.

Step 2: Instant Download

Download your Authorization for Minor Medical Treatment template in Microsoft Word format. Compatible with Word, Google Docs, and Pages.

Step 3: Fill In the Highlighted Fields

Complete the highlighted sections with your child's information, medical details, and caregiver authorization terms. Our detailed how-to guide walks you through every decision.

 

Frequently Asked Questions

Can I use this template multiple times?

Yes. Purchase once and use it as many times as needed for different caregivers or time periods. Update the authorization annually to keep medical information current.

Is this contract legally binding?

Yes. This authorization is legally recognized in all 50 states. We recommend notarization for added weight with medical facilities, though it's not legally required in most jurisdictions.

Do I need separate authorizations for different caregivers?

Yes. Each caregiver who might need to make medical decisions for your child should have their own signed authorization with their specific information and the scope of authority you're granting them.

What if my child's medical information changes?

You should create a new authorization whenever significant changes occur—new allergies, different medications, insurance changes, or new medical conditions. The template includes a provision requiring you to notify the caregiver of changes during the authorization period.

Can hospitals refuse to accept this authorization?

Most hospitals and medical facilities accept properly executed authorizations, especially when notarized. In true emergencies, hospitals will treat children regardless. This authorization prevents delays and legal complications for non-emergency situations.

Does this authorization override custody agreements?

No. If you're divorced or separated, your custody agreement may require both parents to consent to medical decisions. Review your custody order before granting medical authorization to ensure you have the legal authority to do so.