The Temporary Guardian Medical Release Form is an essential legal document used in Nigeria when parents or legal guardians need to temporarily delegate medical decision-making authority to another responsible adult. This situation commonly arises when children are under the care of relatives, teachers, or family friends during parents' travel, work commitments, or other temporary situations. The document complies with Nigerian federal and state laws, including the Child's Rights Act 2003 and relevant healthcare regulations. It contains crucial medical information, emergency contacts, and specific authorizations, ensuring that children can receive timely medical care when needed. The form protects all parties involved - the child, temporary guardian, and healthcare providers - by clearly establishing the scope and duration of the delegated authority.
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1. Parties: Identification of the parent(s)/legal guardian(s) granting authority, the temporary guardian(s) receiving authority, and the minor child(ren)
2. Background: Brief context explaining the need for temporary guardianship and medical release
3. Definitions: Key terms used in the document including 'Medical Care', 'Emergency Treatment', 'Temporary Guardian', etc.
4. Grant of Authority: Specific powers being granted to the temporary guardian regarding medical decisions and care
5. Duration: Specific start and end dates of the temporary guardianship and medical authority
6. Medical Information: Child's essential medical information including allergies, conditions, and current medications
7. Emergency Contacts: List of primary and secondary emergency contacts including parents and alternate contacts
8. Revocation Clause: Terms under which the authority can be revoked by the parents/legal guardians
9. Execution: Signature blocks for all parties and witnesses
1. Insurance Information: Details of medical insurance coverage - include if child has health insurance
2. Travel Authorization: Permission for interstate or international travel - include if guardian may need to travel with child
3. Religious Restrictions: Specific religious considerations for medical treatment - include if family has religious-based medical restrictions
4. Prohibited Treatments: Specific treatments that are not authorized - include if parents wish to exclude certain procedures
5. Additional Caregivers: Authorization for guardian to delegate certain responsibilities - include if guardian may need backup care assistance
1. Schedule A - Medical History: Detailed medical history including past surgeries, hospitalizations, and chronic conditions
2. Schedule B - Vaccination Record: Complete immunization history and upcoming required vaccinations
3. Schedule C - Physician Contact List: List of child's current healthcare providers and their contact information
4. Appendix 1 - Consent Forms: Standard medical consent forms required by local hospitals or healthcare facilities
5. Appendix 2 - Identity Documents: Copies of identification documents for all parties and the child
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