Hennepin Minnesota Caregiver Consent regarding Medical and/or Emergency Treatment - Child Care

State:
Multi-State
County:
Hennepin
Control #:
US-02756BG
Format:
Word; 
Rich Text
Instant download

Description

This form is designed for those situations where minors are under the care of a child care provider. It gives authority to the child care provider to arrange for medical care for a minor in the event of an emergency. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.

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FAQ

Valid informed consent for research must include three major elements: (1) disclosure of information, (2) competency of the patient (or surrogate) to make a decision, and (3) voluntary nature of the decision. US federal regulations require a full, detailed explanation of the study and its potential risks.

What Is Informed Consent? There are 4 components of informed consent including decision capacity, documentation of consent, disclosure, and competency. Doctors will give you information about a particular treatment or test in order for you to decide whether or not you wish to undergo a treatment or test.

People aged 16 or over are entitled to consent to their own treatment. This can only be overruled in exceptional circumstances. Like adults, young people (aged 16 or 17) are presumed to have sufficient capacity to decide on their own medical treatment, unless there's significant evidence to suggest otherwise.

I, , parent or legal guardian of , born , do hereby consent to any medical care and the administration of anesthesia determined by a physician to be necessary for the welfare of my child while said child

In Minnesota as with most other states, the general rule is that a parent must be informed about and give consent for medical treatment for her child. A minor (whether sexually assaulted or not) may obtain a medical examination to diagnose or treat these conditions.

Any person 16 years or older may request admission to a treatment facility for observation or treatment of mental illness, chemical dependency, or developmental disability and may give valid consent for hospitalization, routine diagnostic evaluation, and emergency or short-term acute care.

The Elements of Informed Consent. Literature of bioethics often analyzes informed consent in terms of the following elements: (1) disclosure; (2) comprehension; (3) voluntariness; (4) competence; and (5) consent (see U.S. National Commission, 1978, U.S. President's Commission, 1982; Meisel and Roth, 1981).

Type their legal name, home address, and date of birth. Line them up in a column so that it is easier to read. Include medical information. Upfront, you should include medical information about the children, including their doctor, health insurance plan, and allergies.

Any person 16 years or older may request admission to a treatment facility for observation or treatment of mental illness, chemical dependency, or developmental disability and may give valid consent for hospitalization, routine diagnostic evaluation, and emergency or short-term acute care.

People aged 16 or over are entitled to consent to their own treatment. This can only be overruled in exceptional circumstances. Like adults, young people (aged 16 or 17) are presumed to have sufficient capacity to decide on their own medical treatment, unless there's significant evidence to suggest otherwise.

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Hennepin Minnesota Caregiver Consent regarding Medical and/or Emergency Treatment - Child Care