Medical Consent Form

  • Under Indiana law, another adult, including a grandparent or an older sibling, cannot authorize medical treatment until all efforts have been made to reach the child's parent or legal guardian.  This could delay treatment.  The only exception is if a doctor determines a child's injuries or symptoms to be life-threatening.
  • Only you, as a parent, can authorize medical treatment for your child if he or she is under the age of 18.  That is why it is very important to complete a copy of the consent form and make it available each time you leave your child in the care of someone else.  Your daycare provider should also keep a copy of this form.
  • You can print a usable copy of the consent for treatment by clicking here: Parental Consent Form