Letter to Grant Permission for Medical Treatment

Authorization for Routine Medical Care

Dear [Parent/Guardian Name],

Your child, [Child’s Name], has been enrolled in our school’s after-school program. As part of our commitment to providing a safe and healthy environment, we require your written consent to administer routine medical care in the event of minor injuries or illnesses that may occur during program hours.

Routine medical care includes:

• Applying bandages or ice packs
• Administering over-the-counter medications (e.g., acetaminophen, ibuprofen)
• Providing first aid for minor cuts, scrapes, and abrasions

By signing this letter, you authorize us to provide such routine medical care to your child. Please note that if your child requires more advanced medical attention, we will immediately contact you and seek your guidance.

Permission for School Health Screening

Dear [Parent/Guardian Name],

Our school will be conducting a comprehensive health screening for all students on [Date]. This screening will include assessments for:

• Vision
• Hearing
• Dental health
• Height and weight

The purpose of this screening is to ensure that all students receive any necessary referrals or early interventions for potential health concerns. Your child’s health and well-being are our top priority.

Please sign and return this letter by [Deadline Date] to indicate your consent for your child to participate in the health screening.

Consent for Medical Procedure

Dear [Parent/Guardian Name],

Following a thorough evaluation, our healthcare team has recommended a medical procedure for your child, [Child’s Name]. The procedure is [Procedure Name] and is scheduled for [Date].

We understand that this can be a challenging time for you and your family. We want to assure you that we have carefully considered all available options and believe that this procedure is the best course of action for your child’s health.

Before we can proceed, we require your written consent. Please carefully review the attached information sheet, which provides detailed information about the procedure, its risks, and benefits. If you have any questions, please do not hesitate to contact us.

Authorization for Emergency Medical Treatment

Dear [Parent/Guardian Name],

During [Activity Name], your child, [Child’s Name], will be participating in activities that may pose a higher risk of injury. In the event of an emergency, we may need to provide immediate medical care to your child.

We understand that you may not be present during this time. By signing this letter, you authorize us to seek emergency medical treatment for your child, including transportation to a hospital or clinic, if necessary.

We take the safety of your child very seriously. We have taken all necessary precautions to minimize risk, but we cannot guarantee that an emergency will not occur.

Permission for Overnight Stay

Dear [Parent/Guardian Name],

Our school is planning an overnight field trip to [Destination] from [Start Date] to [End Date]. As part of this trip, students will be chaperoned by [Chaperone Names].

We kindly request your permission for your child, [Child’s Name], to participate in this overnight trip. During the trip, students will engage in activities such as [List of Activities].

We have taken all necessary precautions to ensure the safety and well-being of your child. However, we cannot predict or prevent all potential risks.

Consent for Participation in Sports

Dear [Parent/Guardian Name],

Your child, [Child’s Name], has expressed interest in participating in our school’s [Sport Name] team. Before your child can participate, we kindly request your written consent.

Participating in sports involves inherent risks, including the possibility of injury. While we take every precaution to ensure the safety of our athletes, we cannot guarantee that an injury will not occur.

By signing this letter, you acknowledge that you have been informed of the risks associated with participating in [Sport Name] and that you consent to your child’s participation.

Authorization for School Nurse to Administer Medication

Dear [Parent/Guardian Name],

Our school nurse has been advised that your child, [Child’s Name], requires a specific medication to manage their health condition. We understand the importance of ensuring that your child receives their medication on time.

By signing this letter, you authorize our school nurse to administer the following medication to your child:

• [Medication Name]
• [Dosage]
• [Frequency]

Please note that this authorization only applies to the specific medication and dosage prescribed by your healthcare provider. If there are any changes to your child’s medication or dosage, please notify the school nurse immediately.