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Virgin Islands Consentimiento de viaje internacional para un menor con declaración jurada y autorización para que el menor reciba tratamiento médico - Consentimiento del paciente - International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment - Patient Consent

State:
Multi-State
Control #:
US-00468BG
Format:
Word
Instant download

Description

For a minor under the age of 18 to travel out of the United States without both parents or legal guardians, a notarized affidavit should be obtained and presented to immigration officials upon departure and return to the United States. Failure to present this affidavit may result in officials refusing the minor to leave the country. This form should be completed and then signed in front of a Notary Public. You must carry this notarized affidavit with you. It is recommended that you also carry birth certificates or any other supporting documents.

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 Virgin Islands 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 to travel internationally without their parent or legal guardian. This form is specifically tailored for residents or citizens of the Virgin Islands who plan to allow their child to travel abroad without their direct supervision. This consent form is essential for minors who are planning to travel internationally alone or with a designated guardian, as it authorizes their travel and allows them to receive necessary medical treatment in case of emergencies. It is crucial to ensure the safety and well-being of the minor during their journey. The form includes various sections that capture important information required by both immigration authorities and medical staff. These sections typically consist of: 1. Personal Information: This section collects details about the minor, including their full name, date of birth, gender, and current address. Additionally, it captures the contact information for both the minor's parents or legal guardians. 2. Travel Details: This section requires information about the travel plans, including the destination country/countries, the purpose of the trip, and the duration of the stay. It may also include specifics such as flight details or any connecting flights. 3. Guardian Information: If the minor is traveling with a designated guardian, this section collects the guardian's name, contact information, and relationship to the minor. The guardian must provide proof of their legal authority to make decisions on behalf of the minor during the trip. 4. Medical Authorization: This section gives consent to medical professionals to provide necessary medical treatment to the minor in case of emergencies. It includes the name of the healthcare provider, authorization to administer medication or perform medical procedures, and disclosure of medical records to the authorized individuals. 5. Affidavit: The affidavit section requires the signature of the parent or legal guardian, declaring that the information provided in the form is accurate and that they willingly and knowingly consent to the minor's international travel and medical treatment. If there are different types of Virgin Islands International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent, they may be differentiated based on the specific circumstances or travel requirements. Examples of these different types could include travel consent forms for minors traveling with a non-parent adult, travel consent forms for minors traveling within the Caribbean region, or travel consent forms for minors with pre-existing medical conditions.

The Virgin Islands 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 to travel internationally without their parent or legal guardian. This form is specifically tailored for residents or citizens of the Virgin Islands who plan to allow their child to travel abroad without their direct supervision. This consent form is essential for minors who are planning to travel internationally alone or with a designated guardian, as it authorizes their travel and allows them to receive necessary medical treatment in case of emergencies. It is crucial to ensure the safety and well-being of the minor during their journey. The form includes various sections that capture important information required by both immigration authorities and medical staff. These sections typically consist of: 1. Personal Information: This section collects details about the minor, including their full name, date of birth, gender, and current address. Additionally, it captures the contact information for both the minor's parents or legal guardians. 2. Travel Details: This section requires information about the travel plans, including the destination country/countries, the purpose of the trip, and the duration of the stay. It may also include specifics such as flight details or any connecting flights. 3. Guardian Information: If the minor is traveling with a designated guardian, this section collects the guardian's name, contact information, and relationship to the minor. The guardian must provide proof of their legal authority to make decisions on behalf of the minor during the trip. 4. Medical Authorization: This section gives consent to medical professionals to provide necessary medical treatment to the minor in case of emergencies. It includes the name of the healthcare provider, authorization to administer medication or perform medical procedures, and disclosure of medical records to the authorized individuals. 5. Affidavit: The affidavit section requires the signature of the parent or legal guardian, declaring that the information provided in the form is accurate and that they willingly and knowingly consent to the minor's international travel and medical treatment. If there are different types of Virgin Islands International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent, they may be differentiated based on the specific circumstances or travel requirements. Examples of these different types could include travel consent forms for minors traveling with a non-parent adult, travel consent forms for minors traveling within the Caribbean region, or travel consent forms for minors with pre-existing medical conditions.

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.

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Virgin Islands Consentimiento de viaje internacional para un menor con declaración jurada y autorización para que el menor reciba tratamiento médico - Consentimiento del paciente