Child Medical Consent Form
A parent's written permission for another adult to get medical care for their child.
Good for: Parents who leave a child with a grandparent, relative, babysitter, coach, or other adult who might need to get medical care for the child.
Before you sign
- Give the adult a copy, and keep a copy yourself. Many caregivers also like to carry a copy of the child's insurance card.
- Hospitals and doctors in some states want this form signed in front of a notary. The state tips on the last step cover your state.
- This form does not give the adult any other rights over your child.
What this is not
These are standard forms for you to fill in, plus plain-language information. This is not legal advice and this site is not a law firm. We do not file anything for you or check your answers. Rules differ from state to state, so read the finished form before you sign it.