sample letter permission for medical treatment

When seeking medical treatment for a child or dependent, it’s often necessary to provide written permission. This permission can come in the form of a letter, which explains who has permission to take the child or dependent for medical treatment and what type of treatment is allowed. In this article, we’ll provide tips and seven sample letter permission for medical treatment, which you can edit as needed to suit your individual circumstances.

Tips for Writing a Letter of Permission for Medical Treatment

When writing a letter of permission for medical treatment, it’s important to be clear and concise. Here are some tips to help you create a letter that is effective and easy to understand:

  • Start with a clear and concise title that explains the purpose of the letter.
  • Begin your letter with a formal greeting, such as “Dear Doctor” or “To Whom It May Concern.”
  • Include the name and age of the child or dependent who will be receiving treatment.
  • State the name of the person who has permission to take the child or dependent for treatment.
  • Specify the type of treatment that is allowed, such as emergency medical care or routine check-ups.
  • Provide contact information for the person who has permission to seek treatment, including name, phone number, and address.
  • Close your letter with a formal complimentary close, such as “Sincerely” or “Yours truly.”

Seven Sample Letter Permission for Medical Treatment

Permission for Emergency Medical Care

Dear Dr. Smith,

This letter is to give permission for emergency medical care for my son, John Smith, who is 10 years old. I hereby authorize my sister, Jane Doe, to take him to the hospital or emergency room if he requires medical attention when I am unavailable.

Sincerely,

Mary Smith

Permission for Routine Check-Ups

Dear Dr. Johnson,

This letter is to give permission for routine check-ups for my daughter, Sarah Johnson, who is 5 years old. I hereby authorize my husband, David Johnson, to take her to the pediatrician for routine check-ups and vaccinations.

Thank you,

Amy Johnson

Permission for Vision Treatment

Dear Dr. Lee,

This letter is to give permission for vision treatment for my son, Michael Lee, who is 8 years old. I hereby authorize my mother, Susan Lee, to take him to an eye specialist for vision tests and treatment as needed.

Best regards,

Eric Lee

Permission for Dental Treatment

Dear Dr. Brown,

This letter is to give permission for dental treatment for my daughter, Emily Brown, who is 7 years old. I hereby authorize my wife, Jennifer Brown, to take her to the dentist for routine check-ups and any necessary treatment.

Yours truly,

John Brown

Permission for Mental Health Treatment

Dear Dr. Wilson,

This letter is to give permission for mental health treatment for my daughter, Lisa Wilson, who is 15 years old. I hereby authorize my sister-in-law, Karen Wilson, to take her to the therapist for counseling sessions as needed.

Best regards,

Tom Wilson

Permission for Allergy Treatment

Dear Dr. Patel,

This letter is to give permission for allergy treatment for my son, Ryan Patel, who is 6 years old. I hereby authorize my mother, Maria Patel, to take him to the allergist for allergy testing and treatment as needed.

Thank you,

David Patel

Permission for Physical Therapy

Dear Dr. Hernandez,

This letter is to give permission for physical therapy for my wife, Sarah Hernandez, who is 35 years old. I hereby authorize my brother, Daniel Hernandez, to take her to the physical therapist for treatment as needed.

Sincerely,

Mark Hernandez

Frequently Asked Questions

Do I need a letter of permission for medical treatment?

If your child or dependent will be receiving medical treatment and you will not be present, it is recommended that you provide written permission. This will ensure that the person taking your child or dependent for treatment has legal authorization to do so.

What should I include in a letter of permission for medical treatment?

A letter of permission for medical treatment should include the name and age of the child or dependent, the name and contact information of the person who has permission to seek treatment, and details about the type of treatment that is allowed.

Who should I address the letter of permission to?

You should address the letter of permission to the physician or medical professional who will be providing treatment. If you are unsure of who will be providing treatment, you can address the letter “To Whom It May Concern.”

Do I need to have the letter of permission notarized?

It is not always necessary to have a letter of permission for medical treatment notarized, but it can provide additional legal protection. Check with your physician or medical provider to determine whether notarization is required.

How many copies of the letter of permission do I need?

You should provide at least two copies of the letter of permission for medical treatment. One copy should be given to the person who will be taking your child or dependent for treatment, and one copy should be kept for your records.

Can I use a template for my letter of permission?

Yes, you can use a template for your letter of permission for medical treatment. However, be sure to customize the letter to fit your individual circumstances and provide all necessary information.

Conclusion

A letter of permission for medical treatment can ensure that your child or dependent receives the necessary medical care when you are unable to be present. By following the tips provided and using the sample letters as a guide, you can create a letter that is clear, concise, and effective.