Free Permission Letter to Take Child to Doctor [Sample]

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A permission letter to take a child to the doctor permits a parent or legal guardian to delegate all health-care choices for their child to a temporary caregiver.

Once created, the temporary caregiver must present this authorization letter whenever the child is treated or diagnosed at a medical facility. Use this sample permission letter to take your child to the doctor as a guide for writing your own letter.

Permission Letter To Take Child To Doctor Sample

Your Name
Your Address
City, State, Zip Code

DATE

RE: Permission Letter

To Name of Doctor:

I, Name of Legal Guardian, am the lawful guardian of the female child named below. I give permission and consent to Name, Address and Phone Number of Temporary Caregiver to authorize medical treatment for Full Name of Child and date of birth.

This permission is granted from DATE and will expire on DATE.

Signature          DATE
Your Name

Signature of Witness or Notary (if required by the state) DATE
Printed Name of Witness

Frequently Asked Questions (FAQs)

1. What is a permission letter to take a child to the doctor?

Answer: A permission letter is a document that gives legal authorization for someone to take a child to a medical appointment.

2. Who writes a permission letter for a child to see a doctor?

Answer: A parent or legal guardian of the child typically writes the permission letter.

3. What information should be included in a permission letter for a child to see a doctor?

Answer: The letter should include the child’s name, the name of the person taking the child to the appointment, the date of the appointment, and the name and address of the medical facility. It should also include the signature of the parent or legal guardian.

4. Is a permission letter for a child to see a doctor legally binding?

Answer: A permission letter is not legally binding, but it does serve as a written record of the parent or legal guardian’s authorization for the child to receive medical treatment.

5. How long does a permission letter for a child to see a doctor remain valid?

Answer: A permission letter for a child to see a doctor is typically only valid for a specific date or range of dates. If the parent or legal guardian wants the letter to be valid for an extended period, they should specify this in the letter.

6. Can a permission letter for a child to see a doctor be used for other medical treatment?

Answer: It depends on what the letter says. A general permission letter may be used for other medical treatment but it is better to have a specific permission letter for each type of medical treatment.

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