Authorization for Medical Treatment of Minor Child | USA

Authorize your child's teacher, tour coordinator, sports coach, daycare worker or other responsible adult to get medical treatment for your child with this Parental Authorization form.

  • The form authorizes the adult carer to:
    • administer first aid to the child in the event of a minor injury,
    • procure emergency medical care if required, and
    • give consent for the child to have x-rays, diagnosis or treatment if considered necessary by an attending physician.
  • Available in MS Word format.
  • This form was prepared for use in the United States.
Document Type: Microsoft Word
Last Updated: 10-September-2022
SKU: 7686
$6.99
Customers who bought this item also bought

Nanny Placement Questionnaire

Collect all the pertinent information you need to place a nanny / au pair with a client with this fully editable Nanny Placement Questionnaire form.

The questionnaire will be filled out by families who require the services of a nanny. Clients must provide all relevant information, such as:

  • the type of nanny they are looking for,
  • information about the children, such as their ages, special needs, school, activities, etc.
  • current childcare arrangements,
  • duties of the nanny,
  • travel arrangements for out-of-town applicants,
  • employment details such as salary, holidays, sick days, health insurance and benefits.

The Nanny Placement Questionnaire form is a downloadable MS Word template which can be easily customized for your business needs. This is a generic form which is not country-specific and can be used anywhere.

$8.99

Nanny Employment Contract (No Agency)

Use this downloadable Nanny Employment Contract to hire a nanny or au pair to look after your children without going through an agency.

  • The template is generic (not country-specific) and is fully editable. You can quickly and easily add in any specific provisions that are required by the laws in your jurisdiction.
  • If the nanny is required to work outside of his/her normal working hours, s/he will be paid overtime in accordance with applicable labor laws.
  • The nanny may be required to perform duties other than child care, such as grocery shopping and running errands.
  • If the nanny lives in, the employer will provide room and board.
  • The contract contains optional clauses for transportation, depending on whether the employer will provide a vehicle for the nanny's use or will pay for the nanny's transportation to and from work.
  • The employer is responsible for deducting taxes and required remittances from the nanny's pay.
  • The employer will contribute to the nanny's health insurance premiums.
  • Other benefits include paid holidays, vacation time, sick pay, and travel expenses if the nanny is required to travel with the family during their vacations.

To get a copy of the Nanny Services Contract (No Agency), just put it in your shopping cart and go through checkout, then download the form.

$17.99

Nanny Placement Contract

Write up a contract between a nanny / au pair agency and a client to supply candidates for a position with this template Nanny Placement Contract.

  • The agency will recruit applicants for the client to interview for placement as a nanny for the client's children. The client will be responsible for verifying the applicant's credentials prior to hiring the nanny.
  • The agency's role is to act solely as an agent. The agency does not have an employment relationship with the nanny.
  • If a nanny placement does not work out, the agency will make additional replacement referrals free of charge for a specified period.
  • The client agrees to pay transportation costs for any out-of-town applicants to get to their interview.
  • The client agrees not to make private arrangements with an applicant in order to avoid paying the agency's fees.
  • The agency takes no responsibility for the nanny's actions, and cannot guarantee the nanny's honesty or reliability.
  • The client releases and indemnifies the agency against any claims, except those resulting from the agency's negligence.
  • The Nanny Placement Contract template is generic (not country-specific) and can be re-used as often as you require. Download immediately after purchase.
$12.49

Nanny Employment Application Form

Does your personnel agency find placements for nannies and au pairs? Use this template form to create a customized Nanny Employment Application Form for candidates to complete prior to getting referrals.

  • The applicant must provide relevant personal information including:
    • past experience,
    • driving record and experience,
    • criminal record,
    • medical history,
    • education,
    • interests,
    • employment history and references.
  • Available as a downloadable MS Word file which is fully customizable to fit your business.
  • This is a generic form that can be used anywhere.
$11.99