Chicago Illinois Medical Consent for Child is a legal document that grants authority to a designated caregiver to make medical decisions on behalf of a minor in case of emergencies or situations where parental consent cannot be obtained. This consent form ensures that the child receives necessary medical treatment promptly and efficiently in accordance with the parent's wishes. In the state of Illinois, there are two main types of Medical Consent for Child: 1. Temporary Medical Consent for Child: This type of consent form is used for short-term situations where a parent or legal guardian is unable to be present during a child's medical treatment. For example, if a child is attending a school field trip or a summer camp, the temporary medical consent form provides the necessary authority for the designated caregiver to make medical decisions on behalf of the child. 2. Permanent Medical Consent for Child: In cases where a child's parent or legal guardian is permanently unable to care for the child or make medical decisions, a permanent medical consent form is required. This form is typically used in adoption cases or situations where the court has terminated the parental rights. It grants authority to the designated caregiver to make long-term medical decisions for the child. The Chicago Illinois Medical Consent for Child typically includes the following information: 1. Child's Information: Full name, date of birth, and relevant medical history. 2. Parent/Guardian Information: Full name, address, contact number, and relationship to the child. 3. Caregiver Information: Full name, address, contact number, and relationship to the child. 4. Consent Details: A clear statement granting authority to the caregiver to make medical decisions on behalf of the child, including consent for medical treatments, surgeries, and medications. 5. Duration: For temporary consent forms, the specified duration of authority. 6. Notarization: A space for notary public acknowledgment to verify the authenticity of signatures. 7. Emergency Contacts: Contact information of individuals who should be notified in case of an emergency. It is important to note that the Chicago Illinois Medical Consent for Child should be signed by both the parent/guardian and the designated caregiver and preferably notarized for legal validity. The original document should be kept in a safe place, and copies should be provided to relevant parties such as the child's school, healthcare providers, and the caregiver themselves.
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.