The Legal Guardian Medical Consent Form is essential when a designated guardian needs to make medical decisions for a child in their care. This document, governed by England and Wales law, ensures compliance with the Children Act 1989 and related legislation. It provides healthcare providers with the necessary authorization to treat the child based on the guardian's informed consent. The form typically includes guardian details, child information, scope of authority, duration of consent, and any specific medical considerations or restrictions. It's particularly important for situations where immediate parental consent may not be available.
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1. Guardian Information: Full legal details of the appointed guardian(s) including name, address, contact information, and relationship to the child
2. Child Information: Full details of the child including name, date of birth, NHS number, and any relevant medical conditions
3. Scope of Authority: Specific medical decisions the guardian is authorized to make, including routine care, emergency treatment, and specific procedures
4. Duration: Time period for which the consent is valid and any conditions for termination or renewal
5. Emergency Contact Information: Contact details for guardian and alternative contacts in case of medical emergencies
1. Specific Treatment Exclusions: List of any medical procedures or treatments specifically excluded from the guardian's consent authority
2. Religious/Cultural Considerations: Documentation of specific religious or cultural requirements that may affect medical treatment decisions
3. Alternative Guardian Designation: Designation of secondary guardian and their authority in cases where primary guardian cannot be reached
1. Schedule A - Medical History: Detailed record of the child's relevant medical history, allergies, and ongoing conditions
2. Schedule B - Proof of Guardianship: Legal documentation confirming guardian status and authority
3. Schedule C - Healthcare Provider Information: Comprehensive list of regular healthcare providers, specialists, and their contact information
4. Schedule D - Insurance Information: Details of medical insurance coverage and relevant policy information
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