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Consent To Treat Minor Without Parent for Indonesia

Consent To Treat Minor Without Parent Template for Indonesia

This document provides legal authorization for healthcare providers in Indonesia to treat a minor patient without the immediate presence of a parent or legal guardian. It complies with Indonesian Health Law No. 36 of 2009 and Child Protection Law No. 35 of 2014, establishing clear parameters for medical treatment authorization while protecting both the healthcare provider and the minor's interests. The document includes comprehensive details about the minor, scope of authorized treatments, emergency contacts, and any specific limitations or restrictions, ensuring medical professionals can provide necessary care within defined legal boundaries.

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What is a Consent To Treat Minor Without Parent?

The Consent To Treat Minor Without Parent document addresses a critical need in healthcare delivery where parents or legal guardians cannot be physically present during a minor's medical treatment. In Indonesia, this document operates within the framework of Health Law No. 36 of 2009 and Child Protection Law No. 35 of 2014, providing healthcare providers with legal authority to administer necessary medical care to minors. It's particularly relevant for situations involving routine check-ups, emergency care, or ongoing treatment where parental presence isn't possible due to work commitments, travel, or other valid reasons. The document typically includes detailed patient information, authorized treatments, emergency contacts, and specific limitations, while ensuring compliance with Indonesian medical consent requirements and child protection regulations.

What sections should be included in a Consent To Treat Minor Without Parent?

1. Parties: Identification of the parent/legal guardian (grantor), the temporary guardian if applicable, and the healthcare facility/provider receiving the authorization

2. Background: Brief explanation of why the consent is necessary, including parent's temporary absence or inability to be present

3. Definitions: Key terms used in the document including 'minor', 'medical treatment', 'emergency care', and 'temporary guardian'

4. Child Information: Detailed information about the minor including full name, date of birth, address, and any relevant identification numbers

5. Scope of Authorization: Specific medical treatments and procedures authorized, including routine care and emergency treatment

6. Duration of Authorization: Time period for which the consent is valid, including start and end dates

7. Emergency Contacts: List of primary and secondary emergency contacts, including contact numbers and relationship to the minor

8. Limitations and Restrictions: Any specific procedures or treatments that are explicitly not authorized

9. Governing Law: Statement that the document is governed by Indonesian law and relevant healthcare regulations

What sections are optional to include in a Consent To Treat Minor Without Parent?

1. Medical History Summary: Brief medical history of the minor, to be included when the minor has specific medical conditions or ongoing treatments

2. Insurance Information: Details of medical insurance coverage, to be included when specific insurance arrangements need to be noted

3. Religious or Cultural Preferences: Specific religious or cultural considerations affecting medical treatment, to be included when relevant to the minor's care

4. Travel Authorization: Authorization for medical transport or treatment during travel, to be included when the minor may need care while traveling

5. Temporary Guardian Responsibilities: Detailed responsibilities of temporary guardian, to be included when care is delegated to a specific individual other than healthcare providers

What schedules should be included in a Consent To Treat Minor Without Parent?

1. Schedule A - Medical History Form: Detailed medical history including allergies, current medications, and past surgeries

2. Schedule B - Vaccination Records: Current vaccination status and schedule of upcoming required vaccinations

3. Schedule C - Authorized Procedures List: Specific list of medical procedures pre-authorized by the parent/guardian

4. Schedule D - Emergency Contact Details: Comprehensive contact information for all relevant parties including alternate guardians and family physicians

Authors

Alex Denne

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

Jurisdiction

Indonesia

Publisher

Ƶ

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions

























Clauses




















Relevant Industries

Healthcare

Medical Services

Pediatric Care

Emergency Services

Education

Child Care Services

Legal Services

Insurance

Relevant Teams

Legal

Compliance

Medical Administration

Patient Services

Emergency Care

Pediatrics

Risk Management

Medical Records

Registration

Clinical Operations

Relevant Roles

Medical Director

Hospital Administrator

Pediatrician

Emergency Room Physician

Nurse Manager

Legal Counsel

Compliance Officer

Risk Manager

Medical Records Manager

Patient Services Coordinator

School Nurse

Child Care Center Director

Healthcare Facility Manager

Medical Registration Officer

Legal Administrator

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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