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1. Parties: Identifies all relevant parties: parents (authorizers), grandparents (authorized persons), and child(ren)
2. Background: Brief context explaining the need for the authorization and the relationship between parties
3. Definitions: Defines key terms used in the document, including types of medical care, emergency situations, and roles
4. Grant of Authority: Specific powers being granted to grandparents regarding medical decisions and care
5. Duration of Authorization: Timeframe for which the authorization is valid, including start and end dates
6. Emergency Contact Information: Contact details for parents, grandparents, and alternate emergency contacts
7. Limitations of Authority: Clear boundaries of what medical decisions grandparents can and cannot make
8. Revocation Clause: Terms under which parents can revoke the authorization
9. Governing Law: Specifies that Indian law governs the authorization
10. Execution: Signature blocks for all parties and witnesses
1. International Travel Authorization: Additional authorization for medical care during international travel, needed if grandparents plan to travel abroad with the child
2. Special Medical Conditions: Section detailing any existing medical conditions requiring specific care or attention
3. Religious or Cultural Preferences: Specific instructions regarding medical care based on religious or cultural beliefs
4. Insurance Information: Details of medical insurance coverage and billing instructions
5. Alternate Guardian Designation: Designation of alternative guardians if neither parents nor grandparents can be reached
1. Schedule A - Medical History: Detailed medical history of the child including allergies, medications, and past procedures
2. Schedule B - Authorized Healthcare Providers: List of pre-approved healthcare providers and facilities
3. Schedule C - Emergency Procedures: Specific instructions for various types of medical emergencies
4. Appendix 1 - Identification Documents: Copies of relevant identification documents for child, parents, and grandparents
5. Appendix 2 - Consent Forms: Standard medical consent forms pre-signed by parents for routine procedures
Child/Children
Emergency Care
Emergency Contact
Grandparents
Healthcare Provider
Legal Guardian
Medical Care
Medical Decision
Medical Emergency
Medical Facility
Medical History
Medical Insurance Provider
Medical Procedure
Medical Records
Medical Treatment
Minor
Non-Emergency Care
Parents
Prescribed Medication
Primary Care Physician
Routine Care
Specialist Care
Temporary Guardian
Treatment Authorization
Urgent Care
Scope of Authority
Duration and Termination
Emergency Powers
Medical Consent
Healthcare Provider Authorization
Information Access
Confidentiality
Liability and Indemnification
Insurance and Payment
Revocation Rights
Emergency Contact
Medical Records Access
Travel Authorization
Religious Preferences
Documentation Requirements
Governing Law
Witness Requirements
Severability
Amendment
Healthcare
Legal Services
Family Services
Medical Insurance
Child Care
Education
Emergency Services
Legal Operations
Healthcare Administration
Emergency Services
Family Services
Compliance
Medical Records
Insurance Processing
Child Welfare
Document Management
Risk Management
Healthcare Administrator
Family Lawyer
Pediatrician
Emergency Room Physician
School Nurse
Medical Records Manager
Legal Compliance Officer
Family Services Coordinator
Insurance Claims Processor
Child Care Director
Medical Practice Manager
Hospital Administrator
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