This form also grants the adult with temporary custody of the minor the right to seek medical treatment for the minor during the trip.
Description: Santa Clara California 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 and receive medical treatment if necessary, while also providing consent for medical professionals to administer medical care. This specific form is designed for residents of Santa Clara, California, and it is crucial for parents or legal guardians to complete it before their minor child embarks on an international trip. The purpose of this form is to ensure the safety and well-being of the minor while abroad, as well as to authorize medical treatment in case of emergencies. The Santa Clara California International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent form may have variations depending on the specific requirements or preferences of different institutions or organizations. However, its main components typically include: 1. Identity and contact information of the minor: The form will require the minor's full name, date of birth, passport information, and any relevant medical conditions or allergies. 2. Identity and contact information of the parents or legal guardians: The form will request the name, address, phone number, and email of the individuals granting consent for travel and medical treatment. 3. Details of the travel arrangements: This section will entail the dates, destinations, flight details, and accommodation information for the minor's trip. 4. Medical treatment consent: The document will include a clause granting authorization for medical professionals to administer any required medical treatment to the minor while abroad. This may include surgeries, vaccinations, medications, or emergency procedures. 5. Affidavit of consent: The form may include an affidavit where the parents or legal guardians provide a sworn statement confirming their consent for the minor to travel and receive medical treatment if necessary. It is essential to accurately complete all the required fields in the Santa Clara California International Travel Consent for a Minor with Affidavit and Authorization for Minor to Receive Medical Treatment — Patient Consent form. The form should be notarized or witnessed by a legal authority to ensure its validity. Additionally, it is recommended to have multiple copies of the form, as some international destinations may require the original document for legal purposes. By completing this important document, parents or legal guardians can provide the necessary consent and authorization for their minor child to travel internationally and receive medical treatment in Santa Clara, California.
