Frequently Asked Questions

What is medical treatment authorization?

A medical treatment authorization permits a doctor to offer medical care to a child if their parent or legal guardian does not accompany the child.

What should I include in a medical treatment authorization form?

Ask for the personal and contact details of the patient, their parent’s information, attending physician, and insurance details (if applicable).
You can easily customize the template from 123FormBuilder, so feel free to add any information that makes the patient intake easy, safe, and comprehensive. You need to adhere to HIPAA best practices when it comes to handling protected health information through this form in the United States. 123FormBuilder’s HIPAA compliance for online forms grants you the compliance you need on our Enterprise plan.

Grab this template now
Read 123 Form Builder reviews on G2

Are you looking for a different template?

We have more form templates to choose from