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Minor Medical Consent Form Template for Switzerland

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Key Requirements PROMPT example:

Minor Medical Consent Form

"I need a Minor Medical Consent Form for my private pediatric clinic in Geneva, Switzerland, that covers routine treatments and emergency procedures for the entire year of 2025, with specific provisions for sports injuries and allergy treatments."

Document background
The Minor Medical Consent Form is a critical document used throughout Switzerland's healthcare system to ensure legal compliance when providing medical treatment to minors. This document is essential when parents or legal guardians need to authorize medical care for children under their responsibility, as required by Swiss law. The form must comply with the Swiss Civil Code (ZGB), particularly Articles 296 and 19c regarding parental authority and capacity of judgment, as well as relevant cantonal health laws. It includes comprehensive details about the authorized treatments, emergency provisions, and data protection considerations. The Minor Medical Consent Form is particularly important in situations where immediate parental presence isn't possible, such as school activities or emergency situations, while ensuring adherence to Swiss medical privacy laws and professional guidelines.
Suggested Sections

1. Identification of Parties: Details of the minor patient, parents/legal guardians, and healthcare provider/facility

2. Parental/Guardian Authority Declaration: Confirmation of legal authority to consent on behalf of the minor

3. Scope of Consent: Detailed description of medical procedures, treatments, or examinations being consented to

4. Duration of Consent: Time period for which the consent remains valid

5. Medical Information Release: Authorization for sharing medical information with relevant healthcare providers

6. Emergency Contact Information: List of emergency contacts and their contact details

7. Acknowledgment of Rights: Statement of understanding of rights to refuse or withdraw consent

8. Signature Block: Space for dated signatures of parents/guardians and healthcare provider

Optional Sections

1. Mature Minor Assessment: For minors capable of making their own medical decisions (typically 14+ years), includes assessment of minor's capacity for medical decision-making

2. Interpreter Declaration: Required when consent discussions are conducted through an interpreter

3. Religious or Cultural Considerations: Special instructions related to religious or cultural beliefs affecting medical treatment

4. Travel Authorization: Permission for medical treatment during travel or school trips

5. Specific Treatment Exclusions: List of any specific treatments or procedures explicitly not consented to

6. Research Participation: Additional consent for participation in medical research, if applicable

Suggested Schedules

1. Schedule A - Authorized Procedures: Detailed list of specific medical procedures and treatments covered by the consent

2. Schedule B - Authorized Representatives: List of other adults authorized to make medical decisions in parents' absence

3. Schedule C - Medical History: Summary of relevant medical history, allergies, and current medications

4. Appendix 1 - Information Sheet: Detailed explanation of common procedures and treatments in plain language

5. Appendix 2 - Privacy Notice: Information about how medical data will be handled and protected

6. Appendix 3 - Canton-Specific Requirements: Additional requirements specific to the relevant Swiss canton

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




























Clauses




















Relevant Industries

Healthcare

Medical Services

Pediatric Care

Emergency Medicine

Primary Care

Hospital Administration

School Health Services

Sports Medicine

Mental Health Services

Dental Care

Relevant Teams

Legal

Compliance

Medical Administration

Patient Services

Risk Management

Clinical Operations

Emergency Services

Pediatrics

Records Management

Quality Assurance

Relevant Roles

Medical Director

Hospital Administrator

Pediatrician

General Practitioner

Emergency Room Physician

School Nurse

Clinical Director

Legal Compliance Officer

Healthcare Risk Manager

Medical Records Manager

Patient Services Coordinator

Practice Manager

Healthcare Facility Manager

Medical Administrative Assistant

Healthcare Legal Counsel

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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