It is best that children are brought for medical treatment by a parent or legal guardian. However, there may be times when someone other than you takes care of your child. That person may be a baby-sitter, teacher or family member. If your child must be seen at a Nationwide Children's Hospital facility during these times, we need the person who brings your child to be able to sign a consent form for Nationwide Children’s to provide medical care.
This form allows the person you choose to seek medical treatment and sign consent for your child when you are unable to come with the child. The person you name must be 18 years of age or older.
HH-36 11/11, Revised 6/13, Copyright 2011, Nationwide Children's Hospital