This authorization is made pursuant to California Family Code Section 6910. Signature: Date: ______.Pediatric medical records are available in MyChart. You can access your child's records and download PDFs of the records for free. Has your child had difficulty with the following (circle all that apply):. Asthma. Fainting Spells. Convulsions. Diabetes. Create a quick and hassle-free Medical Consent Form for minors with this easy-to-use template. Ensure smooth communication and authorization for medical care. By signing this form, you are giving permission for your child or ward to participate in the study. â–« Have them fill out the Self-Sufficient Minor form.