A medical liability release form is necessary to ensure that children get prompt and adequate medical attention in the absence of their parents. It is a simple form that plays a vital role in ensuring that parents can have peace of mind when their children are away from home. Below is a sample medical liability release form.
Download the Medical Liability Release Form Template, customize it according to your needs, and Print it. Medical Liability Release Template is either in MS Word or Editable PDF.
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Features:
Parties Involved:
The template identifies the parties involved, including the student’s name, parent or guardian information (if applicable), and the medical facility or healthcare provider.
Treatment/Procedure:
The template specifies the treatment or procedure for which liability is being released. There may also be a general clause releasing liability for any unforeseen medical services required during the treatment.
Risks Acknowledged:
The template includes a section outlining potential risks and complications associated with the treatment or procedure.
Waiver of Liability:
The core of the template is the waiver section, where the parent or guardian (and the student if they are of legal age) acknowledges the risks and agrees to hold the medical facility or healthcare provider harmless from legal action in case of injuries or unforeseen complications arising from the treatment.
Medical Authorization:
The template may include a section authorizing medical treatment for the student in case of an emergency. This may also include permission to administer anesthesia or other medications.
Signatures:
The template includes a designated area for the parent or guardian and the student (if applicable) to sign and also date the form.
Benefits
Protection for the Medical Facility/Provider:
A properly signed medical liability release form can help protect the medical facility or healthcare provider from lawsuits related to injuries or complications that arise from the authorized treatment/procedure.
Informed Consent:
By outlining the potential risks involved, the template encourages parents or guardians (and students if applicable) to make informed decisions about consenting to the treatment.
Clear Communication:
The waiver clause clearly communicates the transfer of liability expectations between the parent/guardian (and student) and also the medical facility/provider.
