Free Medical Consent Form

By completing a free medical consent form you can pre-authorize emergency treatment for yourself or your child in an emergency. For a printable medical consent form, just print this PDF version of a general purpose medical consent form and fill it out with the required information.

A signed consent form can mean faster emergency service.

A pre-authorized medical consent form can be very helpful if your children have a medical emergency while in someone else's care. An injury or illness at an after-school program, or while staying with a babysitter, might require emergency medical care. By signing a medical consent form, your children will not have to wait for you to be found and notified before emergency treatment is administered.

A medical consent form can also be helpful if you are in need of emergency treatment. The form will provide emergency personnel with the information they need to start your emergency care and notify your emergency contacts, even if you are unable to speak to convey this information.

Be sure to complete the entire free medical consent form including:

• Name, address, phone number and birth date
• Information on your medical and insurance providers
• Emergency contact information
• Known medical problems and prescriptions
• Signature and phone number of the person authorizing the medical consent

You can add any additional information that you feel might be necessary in an emergency. The more information you provide, the more you can alleviate the need for any delay or guesswork by emergency personnel.

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