Grandparent Medical Consent Form

Available on the Free Plan

Looking for a medical consent form that will allow grandparents to make decisions for your child? Our consent form is simple & easy to understand.

About this template

The grandparent medical consent form is a document that gives permission to a grandparent to make health care decisions on behalf of a minor child. Signed by the child’s parents or legal guardian, this child medical consent form allows the grandparent to make medical decisions and ensure the child gets proper medical care in case of an emergency. Use 123FormBuilder’s grandparent’s medical consent form template to edit quickly and share one with your patients at your medical facility.

A child’s parents or legal guardians use the medical consent form for a minor (under the age of 18) to give someone (e.g., a family member, doctor, caregiver) the right to make medical decisions on behalf of the child. It allows the child’s physician or family doctor to offer the medical treatment the child needs.

The grandparent medical consent form is a medical consent letter signed and approved by the child’s primary caregiver (parent or legal guardian) that temporarily transfers the authority to the grandparent to make medical decisions or seek medical care for the child. Without a medical consent form, the grandparent looking after the child won’t be able to request medical attention.

Who Needs a Grandparent Medical Consent Form

This form is crucial for situations when a child remains under the care of one of their grandparents and needs medical care. The child’s parent writes and signs a medical consent letter to ensure the minor child will receive medical treatment in case of an emergency when they’re not around. 

The grandparent needs a child medical consent form to be able to access healthcare services and make medical decisions on behalf of the child. Any medical facility, hospital clinic, or health care provider is legally bound to collect consent from the child’s primary caregiver (along with the child’s medical history) before the medical personnel can offer any medical treatments.

What Should The Medical Consent Form Include?

These are some of the mandatory fields to include in a child consent form:

  • Child’s name
  • Names of the child’s parents or legal guardians
  • Address (primary residence)
  • Personal details (e.g., date of birth, identification document, etc.)
  • Names of the child’s grandparents
  • The form’s end date (required by most states)
  • Signature fields (legal guardians, grandparents, witness)

Although not mandatory, it would also be helpful to include the following information:

  • Name of child’s physician
  • The physician’s number 
  • Health insurance information (e.g., insurance providers, insurance policy number) 
  • Child’s medical history (e.g., current medications, particular medical condition, potential allergies to drugs or foods, blood type, etc.)
  • Parents’ phone numbers

Why is a Child Medical Consent Form Important?

Child medical consent forms guarantee that a minor child will receive medical treatment in the absence of their parent or legal guardian. It will grant the non-parental caregiver (in this case, the grandparent) the authorization to act in the child’s best interest and seek professional medical care in the event of a medical emergency.

A child medical consent form may need to be notarized. Parents can do that at a notary public in the presence of a witness (other than the grandparent). 

How do you write a medical consent form for a child?

Creating medical consent forms is relatively easy and intuitive with 123FormBuilder. Here are a few steps to follow:

  1. Create a 123FormBuilder account.
  2. Start creating from a blank page or grab the grandparent medical consent form template from the consent forms gallery.
  3. Start customizing it by renaming or rearranging the fields, uploading your logo, adding extra fields or details, or creating rules.
  4. Make sure there are signature fields where all parties can sign to make the form legally binding. 
  5. If necessary, connect the form to 3rd party apps like Google Drive, Dropbox, or Mailchimp to keep a straight record of the documents and send notifications to all parties.
  6. Preview the form on Desktop and Mobile.
  7. Publish it.
  8. Share it with your users by embedding it on your website, sharing it via email or messaging apps.

Benefits of 123FormBuilder Medical Consent Form

Building medical consent forms with 123FormBuilder is really just a couple of clicks experience. Let’s explore why.

Easy to Edit & Customize

We have a medical consent form template that can inspire you to build your own and save you time from building one from scratch. If you’re feeling creative, you can do that with our intuitive drag and drop editor, where you can simply add, rearrange or remove fields that don’t fit your structure. Add all the information you think your users might benefit from. Include your logo or other branding elements, make it dynamic with logic jumps (conditional logic), and have it ready to go in a few minutes. You don’t need any coding skills to write a consent form.

Safely Store Data

Need to make sure the data you collect is safe and secure? YOu’ve come to the right place. 123FormBuilder has an extensive list of security measures that ensures your information is safely handled and stored. With data hosted on AWS data centers, antispam protection, data encryption, authentication security, GDPR compliance, and HIPAA compliance (which you can activate with any of our Enterprise Plans) – you can rest assured that your data belongs to you and is traveling safely through our forms. 123FormBuilder is also working in compliance with the Children’s Online Privacy Protection Act which means we’re committed to protecting the data privacy and security of children under the age of 13. 

Simple to Share

Any medical consent form you create with 123FormBuilder is easy to share with your customers. You can embed the form right on your website for easy access, send the link to the form via email on request or during your periodical communications, or address a larger audience by sharing it on Social Media.

Grandparent Medical Consent Form –  Frequently Asked Questions

A grandparent can give consent if they’re the child’s legal guardian or have a consent form signed by the child’s parents / legal guardians that grant the grandparent permission to give further authorization for medical treatment.

What do grandparents need to take grandchildren to the doctor?

Taking care of a child during a medical emergency is a great responsibility, so grandparents shouldn’t worry about accessing medical care for the children under their supervision. So whether it’s an appointment at a clinic or an emergency visit at the hospital, grandparents need to have on hand the medical consent form that gives them the authorization to seek medical care and accept or reject certain medications or medical procedures for their grandchild.

Are You Looking for a Different Child Consent Form?

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