Medical Treatment Authorization for Minor

Medical Treatment Authorization for a Minor

Empower trusted adults to make urgent medical decisions for your child in your absence. This printable form allows parents or legal guardians to grant temporary authority to a designated adult—such as a babysitter, teacher, grandparent, or friend—to seek and authorize medical treatment for a minor.

✅ Perfect for:

School field trips

Sleepovers or camp

Babysitters and daycare providers

Family vacations or travel without a parent

Includes space for:

Child’s personal and insurance info

Emergency contacts

Specific medical instructions or restrictions

Notary acknowledgment (optional for legal validity)

Peace of mind for you. Critical care access for them.