Authorization for Minor's Medical Treatment

Use this form to give someone authority to authorize medical care for your child.  From sports games to dance lessons, this form will help avoid delays or roadblocks in getting medical care to your child. 

You can save and edit the form before you buy--just create a Nolo.com account. It's easy, free, and there's no obligation to buy anything. If you purchase the form, you'll be able to print, send, or download it.

Use this form to give someone authority to authorize medical care for your child.  From sports games to dance lessons, this form will help avoid delays or roadblocks in getting medical care to your child. 

You can save and edit the form before you buy--just create a Nolo.com account. It's easy, free, and there's no obligation to buy anything. If you purchase the form, you'll be able to print, send, or download it.

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  • Product Details
  • Use this form to let an adult authorize medical or dental care for your child. This is helpful when another adult is caring for your child while you are away, or if your child is participating in sports or other organized activity outside of your supervision.

    If your child is participating in an activity such as a basketball league or dance lessons, the sponsoring organization will most likely give you its own medical authorization to fill out. If it doesn’t, complete this simple form.

    Important to Know

    • Without authorization, supervisors may face delays -- or even brick walls -- while trying to help your child get medical attention following an accident.
    • This form may be witnessed or acknowledged by a notary public. Practically speaking, a notarized form is likely to be more readily accepted by others.

    Additional Technical Support FAQs