Free Parental Medical Consent Letter

December 5, 2050

To Whom It May Concern,

I, [Your Name], am the legal parent/guardian of [Child’s Full Name], born on [Child’s Date of Birth]. I hereby give my full consent and authorization to [Authorized Person’s Full Name] to seek and obtain medical care and treatment for my child in case of illness, injury, or any medical emergency.

This authorization covers the following:

1. Medical examinations and diagnostic tests.

2. Administration of medications and necessary treatments.

3. Hospital admission, surgical procedures, and emergency medical interventions as deemed necessary by medical professionals.

Child’s Information:

• Full Name: [Child’s Full Name]

• Date of Birth: [DD/MM/YYYY]

• Address: [Child’s Full Address]

Authorized Person’s Information:

• Full Name: [Authorized Person’s Full Name]

• Relationship to Child: [Relationship, e.g., Grandparent, Teacher, etc.]

• Contact Number: [Authorized Person’s Phone Number]

Parent/Guardian Information:

• Full Name: [Your Name]

• Relationship to Child: Parent/Guardian

• Address: [Your Address]

• Contact Number: [Your Phone Number]

This consent is valid from [Start Date] to [End Date] unless revoked in writing earlier.

In case of an emergency, I can be reached at the contact details provided above.

Sincerely,

[Your Name]

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