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Emergency Medical Treatment Authorisation Form Template for England and Wales

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Key Requirements PROMPT example:

Emergency Medical Treatment Authorisation Form

"Need an Emergency Medical Treatment Authorisation Form for a sports academy with 50+ minor students, including specific provisions for allergies and pre-existing conditions, and ensuring compliance with both educational and healthcare regulations."

Document background
The Emergency Medical Treatment Authorisation Form serves as a critical legal instrument in situations where immediate medical intervention is required but direct patient consent cannot be obtained. This document, governed by English and Welsh law, enables healthcare providers to deliver necessary emergency treatment while maintaining compliance with legal requirements and protecting both provider and patient interests. It includes essential medical information, emergency contacts, and any advance decisions, ensuring that healthcare providers can make informed decisions aligned with the patient's known preferences and best interests.
Suggested Sections

1. Patient Information: Full legal name, date of birth, address, NHS number, and other identifying information

2. Emergency Contact Details: Primary and secondary emergency contacts with full contact information including relationship to patient

3. Medical History Summary: Essential medical conditions, allergies, current medications, and relevant medical history

4. Consent Declaration: Express authorization for emergency medical treatment including scope of consent and acknowledgment of risks

5. Healthcare Provider Details: Information about authorized medical providers and healthcare facilities

Optional Sections

1. Advance Decisions: Specific treatment preferences or restrictions, including any pre-existing advance directives

2. Religious/Cultural Considerations: Specific religious or cultural requirements that may affect treatment decisions

3. Power of Attorney Details: Information about appointed medical decision-makers and their scope of authority

Suggested Schedules

1. Schedule A - Detailed Medical History: Comprehensive medical history including past surgeries, conditions, and treatments

2. Schedule B - Current Medication List: Complete current medication schedule including dosages and frequencies

3. Schedule C - Insurance Information: Health insurance details, policy numbers, and coverage information

4. Schedule D - Supporting Medical Documentation: Relevant medical reports, test results, and other supporting documentation

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




















Industries

Mental Capacity Act 2005: Key legislation governing capacity assessment, best interests decision-making, advance decisions and statements, and powers of attorney considerations in medical treatment

Children Act 1989: Legislation covering parental responsibility, consent for treatment of minors, and emergency treatment provisions for children

Human Rights Act 1998: Ensures compliance with fundamental rights including right to life (Article 2), right to privacy (Article 8), and protection from discrimination (Article 14) in medical treatment contexts

Data Protection Act 2018 and UK GDPR: Legislation governing the processing of medical data, confidentiality requirements, and information sharing protocols in healthcare settings

Common Law Principles: Legal principles including doctrine of necessity, consent requirements, and duty of care in medical treatment

NHS Act 2006: Statutory framework covering emergency treatment provisions and healthcare provider obligations within the National Health Service

Access to Medical Reports Act 1988: Legislation governing rights regarding medical information and access to medical reports

Equality Act 2010: Ensures non-discrimination in treatment and requires reasonable adjustments in healthcare provision

Medical Act 1983: Legislation establishing professional standards and medical practitioner requirements in healthcare delivery

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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