How to Write an Emergency Release Form
Emergency release forms are not hard to write but are a very important piece of paper. Any person caring for or transporting your child should have an emergency release form with them at all times and it should be updated as circumstances including allergies and addresses change. The emergency release form will give your consent for emergency medical treatment when you are not with your child. Having this consent can allow doctor's to relieve the pain of a broken limb or even save your child's life.
Things You'll Need
- Word processor
- Name and telephone number of child's doctor
- List of allergies
- List of medications with dosage
Instructions
Gather your child's primary care physician's full name and telephone number along with the full name and telephone number of any specialty doctor's that care for your child on a continual basis. Keep in mind that if you would call a specific doctor in an emergency you will want that doctor on the release form. Type your release form into a word processor. The release form should be worded as follows: We, (father's name) and (mother's name), the parents of (include all your children's names and birthdays) give temporary guardianship of said children to (list the names of the people caring for your child while you are away) while we are away from (start date or time) to (start date or time). The named guardians have full authority to sign and approve any emergency medical care that the above mentioned children may require during our absence. Type the next section to include the doctor's name and phone number followed by any known allergies and any medications. When listing medications be sure to include the dosage your child is taking. After this information make sure you list at least one contact number for yourself and then each parent will need to sign and date the release.
