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1. Parties: Identifies all relevant parties: parents/legal guardians, the nanny, and the child(ren)
2. Background: Explains the purpose of the document and the employment relationship between the parents and nanny
3. Definitions: Defines key terms used in the document such as 'emergency medical care', 'routine medical care', 'authorized healthcare providers'
4. Grant of Authority: Specifies the exact medical decision-making powers being granted to the nanny
5. Duration of Authority: States the time period for which the medical consent authorization is valid
6. Emergency Contact Information: Lists all relevant emergency contacts in order of priority
7. Medical Information: Contains essential medical information about the child including allergies, medications, and pre-existing conditions
8. Limitations of Authority: Clearly outlines what medical decisions the nanny cannot make and when parent contact is mandatory
9. Indemnification: Protects the nanny from liability when acting in good faith within the scope of the authorization
10. Execution: Signature section for all parties and witness requirements
1. Insurance Information: Details of medical insurance coverage and payment procedures - include if the nanny will be responsible for managing insurance claims
2. Religious or Cultural Preferences: Specific religious or cultural considerations regarding medical treatment - include if family has specific religious/cultural requirements
3. International Travel Authorization: Additional medical consent provisions for international travel - include if nanny will travel internationally with child
4. Preferred Healthcare Providers: List of preferred doctors, hospitals, and specialists - include if family has specific healthcare provider preferences
5. Termination Clause: Procedures for terminating the medical consent authority - include if consent duration is indefinite
1. Schedule A - Child's Medical History: Detailed medical history including vaccinations, past surgeries, and chronic conditions
2. Schedule B - Emergency Contact List: Comprehensive list of emergency contacts including doctors, relatives, and backup caregivers
3. Schedule C - Medication Schedule: Current medications, dosages, and administration schedules if applicable
4. Schedule D - Healthcare Provider Information: Contact details and addresses of all regular healthcare providers
5. Appendix 1 - Insurance Cards and Documentation: Copies of relevant insurance cards and policy information
Healthcare
Childcare Services
Domestic Employment
Personal Services
Family Services
Medical Services
Private Household Employment
Human Resources
Legal
Family Office
Domestic Staff Management
Healthcare Coordination
Employee Relations
Documentation
Compliance
Nanny
Domestic Worker
Childcare Provider
Au Pair
Household Manager
Child Guardian
Caregiver
Domestic Staff Manager
Family Services Coordinator
Household Staff Supervisor
Private Childcare Professional
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