I would get a notarized letter stating the grandparents have permission to act as medical surrogates in your absence. We could get it in writing that our parents had consent to make medical decisions for Booboo while we were out of town.My son is staying with his grandparents (my parents) for 4 days next weekend while we go out of town. A grandparents' medical consent form allows a parent or legal guardian to hand over all responsibility regarding their child's healthcare decisions. It's a pdf file that can be adapted to your specific situation. A grandparents' medical consent form allows a parent or legal guardian to hand over all responsibility regarding their child's healthcare decisions. Who can apply to visit an offender? Carlos Irwin Estévez (born September 3, 1965), known professionally as Charlie Sheen, is an American actor.