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1. Parent/Legal Guardian Information: Full legal names, contact details, and relationship to the child
2. Child Information: Full legal name, date of birth, and any relevant identification numbers
3. Caregiver Information: Full legal name, contact details, and relationship to the child/family
4. Duration of Authorization: Specific start and end dates for the caregiving period
5. Scope of Authority: Detailed list of powers being granted to the caregiver
6. Medical Authorization: Specific powers regarding medical decisions and emergency treatment
7. Emergency Contacts: List of additional contacts including alternate caregivers or family members
8. Declaration and Signatures: Formal statement of authorization and signature block for all parties
1. Travel Authorization: Authorization for interstate or international travel with the child - include when travel may be required
2. Special Medical Instructions: Detailed medical information including allergies, medications, and specific care requirements - include for children with ongoing medical needs
3. School Authorization: Permission to interact with school authorities - include for school-age children
4. Insurance Information: Health insurance and coverage details - include when relevant insurance information needs to be shared
5. Religious Preferences: Special religious or cultural considerations - include when specific religious or cultural practices must be observed
1. Identification Documents: Copies of ID documents for all parties (parents, child, and caregiver)
2. Medical History: Detailed medical history including immunization records and known conditions
3. Emergency Contact List: Comprehensive list of all emergency contacts with their details
4. Care Schedule: Detailed schedule of regular activities, routines, or appointments
5. Medication Schedule: List of medications, dosages, and administration schedules if applicable
Healthcare
Education
Childcare
Social Services
Legal Services
Family Services
Emergency Services
Medical Services
Community Services
Legal Operations
Healthcare Administration
Child Protection
Family Services
Emergency Services
Medical Administration
Educational Administration
Compliance
Document Management
Client Services
Family Lawyer
Healthcare Administrator
School Administrator
Social Worker
Child Care Director
Medical Practice Manager
Emergency Room Administrator
Family Services Coordinator
Legal Compliance Officer
Child Protection Officer
Family Court Administrator
Pediatrician
School Principal
Childcare Worker
Professional Caregiver
Family Support Worker
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