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Medical Authorization Form

Posted by Elisa Taub
Medical Authorization Form

One never knows when a medical emergency will happen, and in the event you are not home when your child gets sick or injured, it is important to be prepared. The authorization form below gives whomever you deem responsible, the power to authorize medical treatment for your child in case of an emergency.

It also includes important information regarding your pediatrician and medical insurance, which are often hard to find in a state of emergency.

It is a good idea to give copies of this to your family doctor, your child's caretaker, schools, camps, and even your local hospital. I also keep a copy posted on my refrigerator with other emergency info.

To personalize this Medical Authorization form for your family, just click the link below to download a copy in MS Word format. Once you have downloaded the form just replace all words in blue with your personal information. Finally, print and sign the completed form.