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1. Parties: Identifies all relevant parties: biological parent(s), step-parent, and the child(ren). Includes full legal names, relationships, and contact information.
2. Background: Establishes the family relationship context, including marriage to biological parent, living arrangements, and current custody/guardianship status.
3. Definitions: Defines key terms used in the document, such as 'medical treatment', 'emergency care', 'routine care', etc.
4. Grant of Authority: Specifies the medical decision-making powers being granted to the step-parent, including scope and limitations.
5. Duration of Authority: States how long the consent remains valid and any conditions that might terminate or suspend the authority.
6. Medical Information Access: Authorizes the step-parent to access the child's medical records and information.
7. Emergency Provisions: Special provisions for emergency medical situations, including attempt to contact biological parents.
8. Insurance Information: Details about medical insurance coverage and authorization to deal with insurance providers.
9. Execution: Signature section for all parties, including notarization requirements.
1. Specific Medical Conditions: Include when the child has pre-existing medical conditions requiring special attention or regular treatment.
2. Travel Authorization: Add when the step-parent may need to travel with the child for medical treatment.
3. Religious or Cultural Considerations: Include when there are specific religious or cultural preferences regarding medical treatment.
4. Communication Protocol: Add when there's a need to establish specific procedures for communicating medical decisions between biological parents and step-parent.
5. Prohibited Treatments: Include when there are specific medical procedures or treatments that require additional consultation or are expressly prohibited.
1. Schedule A - Child's Medical History: Detailed medical history including allergies, previous conditions, medications, and treating physicians.
2. Schedule B - Emergency Contacts: List of emergency contacts in order of priority, including all parents, close relatives, and family doctor.
3. Schedule C - Insurance Information: Detailed insurance policy information, including policy numbers, provider contacts, and coverage details.
4. Appendix 1 - Supporting Documents: Copies of marriage certificate, child's birth certificate, and any relevant court orders or custody agreements.
Healthcare
Legal Services
Insurance
Education
Child Care
Social Services
Medical Tourism
Emergency Services
Legal
Healthcare Administration
Risk Management
Patient Services
Emergency Services
Medical Records
Compliance
Insurance Coordination
Social Services
Healthcare Administrator
Medical Director
Family Lawyer
Legal Counsel
Insurance Coordinator
School Nurse
Emergency Room Director
Pediatrician
Family Doctor
Medical Records Manager
Risk Management Officer
Social Worker
Patient Relations Manager
Healthcare Compliance Officer
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