Medical Treatment Authorization Letter
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Download Medical Treatment Authorization Letter
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MEDICAL TREATMENT AUTHORIZATION LETTER MEDICAL TREATMENT AUTHORIZATION LETTER GUARDIAN’S NAME GUARDIAN’S ADDRESS GUARDIAN’ S HOME CONTACT INFO Date: To Whom It May Concern: Our minor child(ren) , will be traveling with and under the temporary guardianship of: Name(s): Relationship: Address: During the Dates of: In case of medical emergency during our absence, please try to reach the children’s parents/guardians first at these numbers: Name: Relationship: Phone: Name: Relationship: Phone: In the event that none of the legal guardians noted above can be reached by phone during a medical emergency, we authorize (Names): to make any medical decisions necessary to ensure proper treatment..
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