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1. Parties: Identification of all parties: biological parent(s), step-parent, and child(ren), including full legal names, addresses, and relationships
2. Background: Brief explanation of the family situation and reason for granting medical consent authority to the step-parent
3. Definitions: Clear definitions of terms used in the document, including 'medical treatment', 'emergency care', 'routine care', etc.
4. Scope of Authority: Detailed description of the medical decisions the step-parent is authorized to make, including routine check-ups, emergency care, and specific treatments
5. Duration of Authority: Specification of how long the consent authority remains valid and any conditions that might terminate it
6. Information Access Rights: Details about the step-parent's right to access medical records and receive medical information about the child
7. Emergency Provisions: Specific procedures and authorities in emergency situations
8. Data Protection: Provisions regarding the handling and protection of the child's medical information in accordance with GDPR and German privacy laws
9. Signatures and Declarations: Formal signatures of all parties and any required witness or notary certifications
1. Limitations of Authority: Optional section specifying any restrictions on the step-parent's authority (used when certain medical decisions are reserved for biological parents)
2. Communication Protocol: Optional section detailing how and when the step-parent should communicate medical decisions to the biological parent(s) (used in cases where specific communication requirements are needed)
3. Insurance Information: Optional section including health insurance details and coverage (used when the step-parent needs authority to deal with insurance matters)
4. Alternate Decision Makers: Optional section naming additional authorized persons in case both parent and step-parent are unavailable (used for families with complex care arrangements)
1. Schedule A - Medical History: Summary of child's relevant medical history, allergies, and ongoing conditions
2. Schedule B - Healthcare Providers: List of current healthcare providers, including primary care physician, specialists, and preferred hospital
3. Schedule C - Emergency Contacts: List of emergency contacts and their order of priority
4. Appendix 1 - Proof of Identity: Copies of identification documents for all parties
Biological Parent
Child
Medical Treatment
Emergency Medical Care
Routine Medical Care
Healthcare Provider
Medical Records
Informed Consent
Emergency Contact
Legal Guardian
Medical Facility
Treatment Plan
Preventive Care
Prescription Medication
Surgical Procedure
Diagnostic Test
Medical Emergency
Insurance Provider
Confidential Information
Personal Data
Special Categories of Personal Data
Data Processing
Medical History
Pre-existing Condition
Chronic Condition
Authorized Representative
Power of Attorney
Parental Authority
Healthcare Decision
Termination Event
Effective Date
Medical Practitioner
Specialist Care
Outpatient Treatment
Inpatient Treatment
Mental Health Treatment
Dental Care
Vaccination
Consent Authority
Scope of Powers
Emergency Powers
Medical Information Access
Data Protection
Duration and Termination
Communication Requirements
Healthcare Provider Authorization
Insurance Matters
Confidentiality
Record Keeping
Geographic Scope
Liability and Indemnification
Dispute Resolution
Amendment Procedures
Severability
Governing Law
Force Majeure
Representations and Warranties
Notice Requirements
Revocation Rights
Witness and Authentication
Healthcare
Legal Services
Education
Child Care
Insurance
Social Services
Family Services
Legal Operations
Healthcare Administration
Patient Services
Compliance
Risk Management
Family Services
Medical Records
Emergency Services
School Administration
Family Lawyer
Healthcare Administrator
Medical Practice Manager
School Administrator
Insurance Claims Processor
Social Worker
Legal Compliance Officer
Family Court Judge
Pediatrician
Emergency Room Doctor
School Nurse
Child Protection Officer
Medical Records Manager
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