For a minor under the age of 18 to travel out of the United States without both parents or legal guardians, a notarized affidavit should be obtained and presented to immigration officials upon departure and return to the United States. Failure to present this affidavit may result in officials refusing the minor to leave the country. This form should be completed and then signed in front of a Notary Public. You must carry this notarized affidavit with you. It is recommended that you also carry birth certificates or any other supporting documents.
This form also grants the adult with temporary custody of the minor the right to seek medical treatment for the minor during the trip.
Consent For Minor Procedure
Category:
State:
Multi-State
Control #:
US-00468BG
Format:
Word;
Rich Text
Instant download
Description
How to fill out International Travel Consent For A Minor With Affidavit And Authorization For Minor To Receive Medical Treatment - Patient Consent?
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FAQ
Drafting tips for preparing consent forms: If possible, keep words to 3 syllables or fewer. Write short, simple, and direct sentences. Divide sentences into two when necessary. Keep paragraphs short and limited to one idea.
1) I have read and understood the information contained here; 2) I have been informed about the Procedure and the potential risks, benefits, alternatives and the risk of those alternatives; 3) I authorize and consent to the performance of the Procedure as described; and 4) I authorize and direct that any Specimen ...
Writing tips Use the second (you) or third person (he/she) to present the study details. Avoid use of the first person (I). Include a statement of agreement at the conclusion of the informed consent document. The consent doucment must be consistent with what is described in the IRB application.
Identify the doctors. The medical consent form should start off with the patient giving consent to a doctor, who is named. You could type, ?I approve and direct Dr. [name], other doctors, or others judged qualified by the doctor to perform [the treatment].?
Any person of sound mind above the age of 18 years can legally give the consent. Section 90 of the Indian Penal Code says the consent given by a child under 12 years of age as it is invalid. A patient belonging to the age group between 12 and 18 years and who has sufficient understanding, can give an effective consent.
