You are here: Home Planning Ahead Estate Planning Emergency Child ...
Information For Living With: Choose condition »
Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

Emergency Child Care Form

1/1

AUTHORIZATION

 

______________________ (Name of Parents) hereby authorize ______________________________

to obtain medical treatment for______________________ (Name of child) for the period

__________________________ to _______________________.

 

_________________________________

Signature of Parent

__________________________________

Signature of Parent

 

Sworn to before me this _____ day of __________, 20__

________________________________ (Notary Public)

 

Name of Child's Doctor: _______________________ Telephone Number: ____________________

nsurance company: _______________________________

Policy Number: __________________________ Insured: _________________________________


Please share how this information is useful to you. 0 Comments

 

Post a Comment Have something to add to this topic? Contact Us.

Characters remaining:

  • Allowed markup: <a> <i> <b> <em> <u> <s> <strong> <code> <pre> <p>
    All other tags will be stripped.