Minor Child Medical Consent Form

There may be times when you are unable to bring your child to the PCMF or hospital for an appointment or in an emergency due to unforeseen circumstances. This includes those instance when both parents are away from home for whatever reasons and need to rely on a family member or friend. 

We at the PCMF understand these circumstances; however we must have a written authorisation letter allowing this person to accompany your child(ren). The person bringing your child will need to present a photo identification at the time.

This authorisation gives the person permission to bring your child(ren) in, speak to the doctor on your behalf, give authorisation for treatment, vaccinations, medications, other procedures and make general health decisions.

Please see the below attachment for template consent form and further guidance for parents. One form to be completed for each child. 

The form can be obtained from the HIVE Offices, SSO Office and the PCMF. Alternatively, you can download the form here.