Get Va Minor Child Parent/guardian Authorization

Completing the VA Minor Child Parent/Guardian Authorization form is an important step in ensuring that your child receives necessary medical treatment and evaluations. This guide provides clear instructions on filling out the form online, tailored for users with varying levels of experience.

Follow the steps to successfully complete the authorization form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your name as the parent or legal guardian in the designated field. Ensure your name is clear and accurate to avoid any delays in processing.
3. Next, fill in your child’s full name, including their last and first names, as well as their Social Security number and date of birth. This information is crucial for identification purposes.
4. Provide your child’s home address, including street address, city, and zip code. This helps ensure that any correspondence related to medical treatment is directed to the correct location.
5. Fill in your home phone number along with an optional cell phone number. Providing multiple contact numbers will assist in reaching you in case of an emergency.
6. Next, grant permission for your child to receive a pre-employment physical. Indicate whether they may receive emergency treatment and list out the specifics for the treatment. You may need to waive your right of informed consent in this section.
7. If applicable, provide information regarding any prior TB tests in this section and indicate if your child requires further testing.
8. Designate an adult to contact in case of an emergency along with their relationship to your child. Ensure all details, including their contact information, are correctly entered.
9. If necessary, fill in an alternate contact in case the first contact cannot be reached. This ensures additional support in emergencies.
10. Now, identify your child’s personal family doctor and their contact details. This information is critical if your child needs immediate medical attention.
11. Indicate any known allergies or medical conditions that your child may have. Fill in all relevant medical history as per the form’s requirements to guarantee comprehensive care.
12. Proceed by signing and dating the form in the provided signature area. This signature authorizes necessary medical treatments as outlined in the form.
13. Finally, review your entries for accuracy. Once confirmed, save changes to the form, and you may choose to download, print, or share the completed document as required.

Complete the VA Minor Child Parent/Guardian Authorization form online today to ensure your child’s immediate medical needs are met.