The Step Parent Medical Consent Form is essential in modern Filipino family structures where step-parents play significant roles in children's daily care. This document becomes necessary when step-parents need to make medical decisions for their step-children, particularly in situations where biological parents may not be immediately available. It is designed to comply with Philippine legislation, including the Family Code and Universal Health Care Act, providing healthcare providers with clear authorization while protecting all parties' interests. The form typically includes comprehensive medical history, insurance information, and specific authorities granted, making it particularly relevant in both routine and emergency medical situations. It requires proper execution and notarization to be legally valid in the Philippines.
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1. Parties: Identifies all relevant parties: biological parent(s), step-parent, and the child(ren). Includes full legal names, relationships, and contact information.
2. Background: Establishes the family relationship context, including marriage to biological parent, living arrangements, and current custody/guardianship status.
3. Definitions: Defines key terms used in the document, such as 'medical treatment', 'emergency care', 'routine care', etc.
4. Grant of Authority: Specifies the medical decision-making powers being granted to the step-parent, including scope and limitations.
5. Duration of Authority: States how long the consent remains valid and any conditions that might terminate or suspend the authority.
6. Medical Information Access: Authorizes the step-parent to access the child's medical records and information.
7. Emergency Provisions: Special provisions for emergency medical situations, including attempt to contact biological parents.
8. Insurance Information: Details about medical insurance coverage and authorization to deal with insurance providers.
9. Execution: Signature section for all parties, including notarization requirements.
1. Specific Medical Conditions: Include when the child has pre-existing medical conditions requiring special attention or regular treatment.
2. Travel Authorization: Add when the step-parent may need to travel with the child for medical treatment.
3. Religious or Cultural Considerations: Include when there are specific religious or cultural preferences regarding medical treatment.
4. Communication Protocol: Add when there's a need to establish specific procedures for communicating medical decisions between biological parents and step-parent.
5. Prohibited Treatments: Include when there are specific medical procedures or treatments that require additional consultation or are expressly prohibited.
1. Schedule A - Child's Medical History: Detailed medical history including allergies, previous conditions, medications, and treating physicians.
2. Schedule B - Emergency Contacts: List of emergency contacts in order of priority, including all parents, close relatives, and family doctor.
3. Schedule C - Insurance Information: Detailed insurance policy information, including policy numbers, provider contacts, and coverage details.
4. Appendix 1 - Supporting Documents: Copies of marriage certificate, child's birth certificate, and any relevant court orders or custody agreements.
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