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Medical Authorisation Form For Minor
"I need a Medical Authorisation Form For Minor for my 12-year-old daughter who will be attending a two-week summer camp in July 2025, where she may need access to her asthma medication and potential emergency treatment."
1. Child's Information: Full name, date of birth, address, NHS number
2. Parent/Guardian Information: Full name, relationship to child, contact details, proof of parental responsibility
3. Medical Authorization Scope: Specific treatments/procedures being authorized
4. Duration of Authorization: Time period for which authorization is valid
5. Emergency Contact Details: Alternative contacts if parent/guardian unavailable
6. Declaration and Signature: Formal authorization statement and signing section
1. Medical History: Child's relevant medical history, used when authorization is for ongoing treatment
2. Medication Details: Current medications, allergies, used when relevant to treatment
3. Insurance Information: Private healthcare details, if applicable
4. Special Instructions: Any specific care requirements or restrictions
1. Medical Records: Relevant medical history documents
2. Proof of Identity: Copies of parent/guardian ID and proof of relationship
3. Treatment Details: Detailed information about specific procedures being authorized
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