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1. Parties: Identifies the parent(s)/legal guardian(s) granting authority, the temporary guardian(s), and the child(ren)'s details including full legal name, date of birth, and any known medical conditions
2. Background: Explains the purpose of the temporary guardianship arrangement and the reason for its necessity
3. Definitions: Defines key terms used in the document including 'medical treatment', 'emergency care', 'temporary guardian', and 'medical provider'
4. Duration of Authority: Specifies the exact time period for which the temporary guardianship is valid, including start and end dates
5. Scope of Authority: Details the specific medical decisions and actions the temporary guardian is authorized to make or take
6. Emergency Contact Information: Lists primary and secondary emergency contacts, including parents/legal guardians and their contact details
7. Medical Information Release Authorization: Authorizes medical providers to release information to the temporary guardian
8. Limitations of Authority: Clearly states any restrictions on the temporary guardian's decision-making authority
9. Revocation Clause: Explains how and when the authority can be revoked by the parent(s)/legal guardian(s)
10. Execution: Signature section for all parties, including witness requirements and date of execution
1. International Travel Authorization: Required if the child may need to travel internationally during the temporary guardianship period
2. Special Medical Conditions: Detailed section for children with specific medical conditions requiring special attention or regular treatment
3. Insurance Information: Section for detailed health insurance information and coverage details
4. Religious or Cultural Considerations: Specifies any religious or cultural preferences that should be considered in medical treatment
5. Alternative Guardian Designation: Names a backup temporary guardian in case the primary temporary guardian becomes unavailable
1. Schedule A - Medical History: Detailed medical history including allergies, medications, previous surgeries, and ongoing conditions
2. Schedule B - Insurance Details: Complete health insurance information including policy numbers, coverage details, and provider contact information
3. Schedule C - Emergency Contacts: Comprehensive list of all emergency contacts with their relationship to the child and contact details
4. Appendix 1 - Medical Provider List: List of child's current medical providers including primary care physician, specialists, and preferred hospital
5. Appendix 2 - Consent Forms: Copies of standard medical consent forms required by specific healthcare providers or institutions
Parent
Legal Guardian
Temporary Guardian
Medical Treatment
Emergency Medical Care
Routine Medical Care
Medical Provider
Healthcare Facility
Medical Records
Informed Consent
Emergency Contact
Medical Emergency
Authorization Period
Revocation
Insurance Provider
Pre-existing Condition
Prescription Medication
Non-prescription Medication
Medical Procedure
Surgical Procedure
Mental Health Treatment
Dental Care
Medical Information
Immunization
Healthcare Decision
Treatment Plan
Medical Test
Medical Diagnosis
Specialist Referral
Scope of Authority
Duration
Medical Consent
Emergency Authorization
Medical Information Release
Privacy and Confidentiality
Insurance Authorization
Revocation Rights
Indemnification
Liability Limitation
Emergency Contact
Travel Authorization
Religious or Cultural Preferences
Termination
Governing Law
Special Medical Instructions
Dispute Resolution
Amendment
Severability
Healthcare
Education
Legal Services
Childcare Services
Social Services
Youth Organizations
Emergency Services
Insurance
Travel and Tourism
Legal
Human Resources
Compliance
Risk Management
Administrative Services
Healthcare Administration
Student Services
Emergency Response
Client Relations
Document Management
Policy Development
Legal Counsel
Healthcare Administrator
School Principal
Childcare Director
Human Resources Manager
Travel Coordinator
Social Worker
Family Lawyer
Medical Practice Manager
Risk Management Officer
Compliance Officer
Emergency Services Coordinator
Insurance Claims Processor
Youth Program Director
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