Need help with medical release for nephew

[ReneeQ]

I am taking my 6 year old nephew (my sister's child) to Disney for a week in January 2004. It will just be me and him on the trip. I want to get my sister and her husband (nephew's parents) to sign a medical release, just in case something happens and I need to take him to the hospital, etc.

Does anyone have any suggestions of how this should be worded?

Thanks!

 

[Deafmedic]

That's easy. Just a letter that state you are given permission to make any emergency medical decisions by the parents and have them sign and notarize it. Of course the key word here is "EMERGENCY". Anything else such as treatment for a sprained ankle or earache is a decision that you can make on your own. Make sure you have a copy of his insurance card. This is what we do when we take our niece on trips with us.

 

[SueM in MN]

In case of an actual life-threatening injury or emergency, something called "implied consent" comes into play. They will treat the child without any consent (the implication is that the child and his parents would not want him to die or lose a limb, so emergency care to keep him alive and prevent loss would be done).
You would be able to give him over the counter medications that you don't need a doctor for, but anything between "no doctor" and "life or limb threatening emergency" would need an authorization.

Besides the insurance info and parent's signatures, you want their contact information, the child's full name and birthdate, physician's name and contact info, any known medical problems, allergies or medications the child takes regularly, record of last tetanus shot (if possible). Notarizing the signatures would be good, but it would not be absolutely necessary (schools and day cares regularly get authorizations signed and none of them are notarized). The phone numbers to contact the parents are very important. A hospital or doctor's office can get verbal consent over the phone from the parents.
Places to get a form or a sample you can make your own form from:
-possibly the doctor's office has a form that they give to parents
-check on the web. I did a search on google.com with the phrase "authorization for emergency treatment" and "child" or "authorization for emergency care"and got a lot of sample forms.
You might also want the parents to sign something that says it is OK for the child to travel with you. My mom was asked for a form like like when she traveled with my neice.

 

[mickeysaver]

Due to the whole HIPAA nightmare that is plaguing the medical industry right now, the consent to treat issues is worse than it ever was before. You will definitely be helped through the process of obtaining non-emergent medical care for any child other than your own, if you have a medical release form that has been notarized and includes something to the effect of the following.

**********************************************

----Date of Letter---
I, ----parental unit's name---, give -- insert your name -- full permission to seek medical care for my child, ---insert the kid's name, born on --insert date of birth---. I authorize that ---insert your name--- has full permission to seek medical care and make medical decisions for my child in my absence. I have provided them with a copy of the front and back of my child's insurance card. Please find my personal billing information below. In case medical attention is sought for my child, please contact me at one of the numbers below. Thanks. ----Parental Signature---

----insert parental unit home address and phone numbers where they can be reached----

Attach a copy of the front and back of the insurance card.

Have it notarized.

*********************************************

In the event of an emergency, a medical facility is obligated to provide treatment to stabilize the patient, but for a minor illness that still requires medical attention they will want more. I hope this helps. Mickey

 

[ReneeQ]

You guys rock! Thanks for all the info! Like I said, we don't go until the end of January, but I want to get this all ready so they can sign it while we're together at Christmas.

Thanks again!

 

[ReneeQ]

You guys rock! Thanks for all the info! Like I said, we don't go until the end of January, but I want to get this all ready so they can sign it while we're together at Christmas.

Thanks again!

 

[elismom]

Check the web sites for Home Daycares.
I run a daycare from my home and my parents sign these forms and when my sister takes my ds camping she uses one of my forms.
You should be able to print one up for one of these sites