Give the named adult permission for specified medical treatment of a minor under the circumstances described in the packet. Check the health care provider's own consent requirements and include any duration or treatment limits. Authorize medical care for my child.
Serving Texas. Texas appointments require a Texas-commissioned notary.
Give the named adult permission for specified medical treatment of a minor under the circumstances described in the packet. Check the health care provider's own consent requirements and include any duration or treatment limits.
What you'll need
The original Texas Consent for Medical Treatment of Minor PDF and its instruction page.
The names, dates and records needed to authorize medical care for my child.
The recipient's requirements, acceptable identification and the qualified witnesses, if any, called for by this packet.
How to complete it
Download the Texas Consent for Medical Treatment of Minor packet and read its instructions without changing the original file.
Fill in the information needed to authorize medical care for my child. Ask a Texas attorney about legal choices you do not understand.
Use the packet's signing option and any required witnesses or notarial act. Arrange the appropriate participants before signing.
Save and print your completed packet, follow its recipient, delivery or recording directions, and keep your copy.
A parent and a nonparent adult caregiver identify the child and the permitted caregiving responsibilities. Follow the Texas packet's sworn-signature and notice requirements; this agreement does not terminate parental rights or automatically create a court guardianship.
Describe the child's travel, accompanying adult and parental permission in this Texas packet. Airlines, border officials and destination countries may require different evidence or their own forms; confirm those instructions before departure.
Identify the earlier nonparent-caregiver authorization you want to revoke. Follow the packet's delivery and notice steps so the caregiver and institutions relying on the agreement receive the change.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.