This form also grants the adult with temporary custody of the minor the right to seek medical treatment for the minor during the trip. The Utah International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent is a legal document that grants permission for a minor child to travel internationally, along with the authorization for receiving medical treatment if necessary. This form is specifically designed for residents of Utah and is essential for parents or legal guardians who are unable to accompany their minor child during international travel or in case of a medical emergency. The document consists of two main sections: the Travel Consent section and the Authorization for Medical Treatment section. The Travel Consent section verifies the consent of the parent or legal guardian for the minor child to travel internationally. It includes details such as the child's full name, date of birth, passport information, travel dates, destination country, and any accompanying individuals. Additionally, it requires the contact information of the parent or legal guardian, as well as alternative contact information in case of emergencies during the trip. The section may also include further instructions or limitations for the trip, such as specific activities that the child is allowed or not allowed to participate in. The Authorization for Medical Treatment section grants permission to healthcare providers to administer necessary medical care or treatment to the minor child in case of a medical emergency during their travel. This section includes the minor's name, date of birth, medical insurance information, and details about any known allergies or pre-existing medical conditions. It also requires the parent or legal guardian to provide contact information for both themselves and the child's primary healthcare provider. Additionally, it may include a provision for the authorization to make decisions regarding medical treatment if the parent or legal guardian cannot be reached in a timely manner. It is worth noting that there may be different versions or variations of the Utah International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent. These variations could be due to updates in legal requirements, differing formatting preferences, or specific additional clauses required by certain travel agencies or countries.
The Utah International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent is a legal document that grants permission for a minor child to travel internationally, along with the authorization for receiving medical treatment if necessary. This form is specifically designed for residents of Utah and is essential for parents or legal guardians who are unable to accompany their minor child during international travel or in case of a medical emergency. The document consists of two main sections: the Travel Consent section and the Authorization for Medical Treatment section. The Travel Consent section verifies the consent of the parent or legal guardian for the minor child to travel internationally. It includes details such as the child's full name, date of birth, passport information, travel dates, destination country, and any accompanying individuals. Additionally, it requires the contact information of the parent or legal guardian, as well as alternative contact information in case of emergencies during the trip. The section may also include further instructions or limitations for the trip, such as specific activities that the child is allowed or not allowed to participate in. The Authorization for Medical Treatment section grants permission to healthcare providers to administer necessary medical care or treatment to the minor child in case of a medical emergency during their travel. This section includes the minor's name, date of birth, medical insurance information, and details about any known allergies or pre-existing medical conditions. It also requires the parent or legal guardian to provide contact information for both themselves and the child's primary healthcare provider. Additionally, it may include a provision for the authorization to make decisions regarding medical treatment if the parent or legal guardian cannot be reached in a timely manner. It is worth noting that there may be different versions or variations of the Utah International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent. These variations could be due to updates in legal requirements, differing formatting preferences, or specific additional clauses required by certain travel agencies or countries.
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.
