The Medical Release For Grandparents is essential in situations where grandparents regularly care for their grandchildren or may need to make time-sensitive medical decisions in the parents' absence. This document, structured in accordance with New Zealand healthcare and family law, particularly the Care of Children Act 2004 and Health and Disability Commissioner Act 1994, provides a clear framework for delegated medical decision-making authority. It includes crucial medical information, defines the scope of authority, and protects all parties' interests while ensuring smooth access to medical care when needed. The document is particularly valuable for families where grandparents play an active role in childcare, during extended parent absences, or in emergency situations where immediate medical decisions may be required.
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1. Parties: Identifies the parents (authorizing parties), grandparents (authorized parties), and the child(ren)
2. Background: Explains the purpose of the document and the relationship between parties
3. Definitions: Defines key terms used in the document including 'medical treatment', 'emergency care', 'healthcare provider', etc.
4. Grant of Authority: Specifies the medical decision-making powers being granted to the grandparents
5. Duration: States the time period for which the authorization is valid
6. Emergency Contact Information: Lists all relevant contact details for parents, grandparents, and alternate emergency contacts
7. Child's Medical Information: Contains essential medical information about the child including allergies, conditions, and medications
8. Limitations of Authority: Clearly outlines what medical decisions the grandparents cannot make
9. Revocation: Explains how and when the authorization can be terminated
10. Execution: Signature section for all parties and witnesses
1. Insurance Information: Include when the child's health insurance details need to be documented for medical providers
2. International Travel Authorization: Add when grandparents may need to travel internationally with the child
3. Special Medical Instructions: Include when there are specific medical procedures or protocols that must be followed
4. Religious Preferences: Add when there are specific religious considerations regarding medical treatment
5. Alternate Decision Makers: Include when there are other authorized individuals who can make decisions if grandparents are unavailable
1. Schedule A - Medical History: Detailed medical history of the child including past surgeries, conditions, and treatments
2. Schedule B - Current Medications: List of all current medications, dosages, and administration instructions
3. Schedule C - Healthcare Providers: Contact information for child's regular healthcare providers including primary physician, specialists, and dentist
4. Schedule D - Insurance Documentation: Copies of health insurance cards and relevant insurance information
5. Appendix 1 - Emergency Action Plan: Step-by-step instructions for specific medical emergencies
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