Article: A release statement protects the caretaker from legal action in the event that your child needs treatment for a sickness or injury and something goes wrong. ..to authorize medical care for my child or children." Write in the name of the person who will be caring for your child, then write the name of your child or children on the paper. If possible, provide an alternate phone number as well. At the bottom of the release, provide your name, home address and date and sign the paper.
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Type or print a 1-page statement saying you give your child's caretaker permission to seek medical treatment if treatment becomes necessary and you cannot be reached to give consent. Write, "In case of emergency, I give consent to. List medical conditions that emergency room personnel or medical practitioners should be aware of, including diseases, allergies and handicaps. Write the name of your child's doctor and any other medical providers or facilities. Provide a phone number and location where you can be contacted.