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1. Parties and Identifying Information: Details of the parent(s)/legal guardian(s) granting authority, the temporary guardian(s), and the minor child(ren) including full legal names, addresses, and contact information
2. Duration of Authority: Specific start and end dates for the temporary guardianship, including provisions for early termination or extension
3. Scope of Medical Authority: Detailed description of medical decision-making powers being granted, including routine and emergency medical care
4. Medical Information: Child's relevant medical history, allergies, current medications, and healthcare providers
5. Emergency Contacts: Prioritized list of emergency contacts including primary guardian(s) and alternate contacts
6. Guardian Responsibilities: Outline of temporary guardian's obligations regarding medical care and communication with parents
7. Execution and Notarization: Signature requirements, witness provisions, and notarization details as per German law
1. Special Medical Conditions: Detailed instructions for managing specific medical conditions, required when the child has chronic conditions or specific medical needs
2. Religious or Cultural Preferences: Specific instructions regarding medical treatments or procedures based on religious or cultural beliefs, included when relevant to the family's beliefs
3. Insurance Information: Details of medical insurance coverage and billing procedures, included when the temporary guardian will handle insurance matters
4. Travel Authorization: Permission for medical treatment during domestic or international travel, needed when travel is anticipated during the guardianship period
5. Additional Guardian Powers: Specific additional authorities granted to the temporary guardian beyond medical decisions, included when broader authority is needed
1. Schedule A - Medical History Form: Detailed medical history including vaccinations, past procedures, and ongoing conditions
2. Schedule B - Current Medication List: Comprehensive list of current medications, dosages, and administration schedules
3. Schedule C - Healthcare Provider Contact List: Contact information for all relevant healthcare providers, specialists, and facilities
4. Schedule D - Insurance Documentation: Copies of insurance cards and relevant insurance policy information
5. Appendix 1 - Identification Documents: Copies of relevant identification documents for all parties and the minor child(ren)
Temporary Guardian
Minor Child
Medical Care
Emergency Medical Care
Routine Medical Care
Guardianship Period
Medical Treatment
Healthcare Provider
Medical Facility
Informed Consent
Medical Records
Emergency Contact
Insurance Provider
Termination Date
Effective Date
Medical Emergency
Prescription Medication
Chronic Condition
Treatment Plan
Medical Procedure
Authorized Representative
Legal Capacity
Parental Authority
Medical Decision-Making Rights
Healthcare Insurance Coverage
Notifying Party
Prior Consent
Duration and Termination
Scope of Medical Authority
Emergency Powers
Medical Information Access
Confidentiality and Privacy
Communication Requirements
Insurance and Payment
Liability and Indemnification
Travel Authorization
Medical Records
Revocation Rights
Emergency Contacts
Dispute Resolution
Data Protection
Governing Law
Healthcare Provider Authorization
Reporting Obligations
Temporary Guardian Duties
Parental Rights Reservation
Healthcare
Education
Legal Services
Social Services
Child Care Services
Youth Services
Insurance
Public Administration
Legal
Human Resources
Compliance
International Mobility
Employee Relations
Risk Management
Medical Administration
Social Services
Legal Counsel
Family Lawyer
Healthcare Administrator
School Administrator
Social Worker
Child Protection Officer
Human Resources Manager
International Assignment Coordinator
Employee Relations Manager
Risk Management Officer
Compliance Officer
Medical Practice Manager
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