[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Address] [City, State, ZIP] Subject: Medical Consent Letter — with Enclosed Form Dear [Recipient's Name], I hope this letter finds you in good health and high spirits. I am writing to seek your assistance with regard to the medical care of my [relationship to child], [Child's Name], who is a [age]-year-old resident of [your city/town], Florida. As the legal guardian and parent of [Child's Name], I understand the importance of ensuring immediate medical attention when necessary, especially in emergency situations. Consequently, I am taking proactive steps to ensure that medical professionals have the necessary permission to provide medical treatment to my child in the case of an emergency, should I or any authorized guardian be unavailable during the health care incident. Enclosed with this letter, you will find a Medical Consent Form, which I kindly request you to review and sign. This form grants permission for medical professionals to provide immediate care to my child, including administering necessary treatments, procedures, and medications as deemed appropriate by the healthcare provider. By signing this form, you confirm your understanding of the potential need for medical intervention and consent to necessary medical care for my child. Please note that this Medical Consent Form is in accordance with the laws and regulations of the state of Florida. It serves as a legal document, ensuring the safety and well-being of my child during unforeseen medical urgencies. By signing this form, you should acknowledge the gravity of the responsibility entrusted upon you and the importance of timely healthcare decisions. Additionally, it is important to mention that this Medical Consent Form is only valid as long as I, [Your Name], am the legal guardian of my child [Child's Name]. In the event of any changes in custody or guardianship, I will provide a revised consent form to replace this one accordingly. Should you have any queries or concerns regarding this matter, please do not hesitate to contact me at [Your Phone Number] or via email at [Your Email Address]. I would be grateful if you could review the enclosed Medical Consent Form at your earliest convenience and return the signed copy to me by [set a reasonable deadline]. I express my sincerest gratitude for your generosity and cooperation in this matter. Your prompt response and collaboration will assist in ensuring the well-being of my child, offering peace of mind to both me and my family. Thank you for your time and attention to this important matter. Sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.