Download Parental Consent Form

Parental Consent for Medical Treatment

When you go away, make sure your children are protected. Accidents or sudden illness involving your children can occur at any time, any place. Unfortunately parents or guardians are not always immediately available to give proper consent and valuable medical information.

 

St.Vincent would like to help you prevent this from happening. This Parental Consent for Medical Treatment form not only gives a caregiver permission to treat your child, it also provides valuable health facts and any other special information about your child's medical history.

  To ensure your child is cared for in the best possible way:

 

• Please be thorough and complete all of the information.
• You must complete a separate form for each child.
• Then, provide copies of the form to every person who is responsible for caring for your child.
• Remember to send along a form any time your child goes away, whether it's to camp or just to a friend's house for the weekend.

 

Download and print a Parental Consent Form