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Minor Medical Consent Form Template for United Arab Emirates

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Key Requirements PROMPT example:

Minor Medical Consent Form

"I need a Minor Medical Consent Form for my 12-year-old daughter who will be attending an international school in Dubai starting January 2025, with specific provisions for her asthma condition and authorization for the school nurse to administer emergency medication."

Document background
The Minor Medical Consent Form is a crucial document required under UAE healthcare legislation, particularly Federal Law No. 10 of 2008 concerning Medical Liability and UAE Federal Law No. 3 of 2016 (Wadeema's Law). This document is essential when parents or legal guardians need to pre-authorize medical treatment for minors in both routine and emergency situations. The form serves multiple purposes: it ensures healthcare providers have proper authorization to treat minors, protects medical facilities from liability concerns, and ensures children can receive prompt medical attention when needed. It must be completed in both Arabic and English to comply with UAE requirements and typically remains valid for a specified period or until explicitly revoked. The document is particularly important in situations where immediate parental presence may not be possible, such as school emergencies or during travel within the UAE.
Suggested Sections

1. Child's Information: Full legal name, date of birth, Emirates ID number, and other identifying information of the minor

2. Parent/Legal Guardian Information: Full details of parent(s) or legal guardian(s) including name, Emirates ID, relationship to child, and contact information

3. Authority Declaration: Statement confirming the legal authority of the parent/guardian to consent to medical treatment

4. Scope of Consent: Detailed description of medical treatments, procedures, or services being authorized

5. Duration of Consent: Validity period of the consent form and any expiration dates

6. Medical Provider Authorization: Names or categories of healthcare providers authorized to provide treatment

7. Declarations and Acknowledgments: Statements confirming understanding of risks, rights, and responsibilities

8. Signature Block: Space for dated signatures of parent(s)/guardian(s) and witness

Optional Sections

1. Emergency Contact Information: Additional contacts authorized to make decisions if primary guardian cannot be reached

2. Specific Medical Conditions: Details of any existing medical conditions, allergies, or medications - include when specific ongoing treatment is needed

3. Insurance Information: Health insurance details and coverage information - include when treatment may require insurance coverage

4. Religious/Cultural Considerations: Any specific religious or cultural preferences affecting medical treatment - include when relevant to the family's beliefs

5. Travel Authorization: Additional consent for treatment during travel or school trips - include when child may need treatment while away from usual jurisdiction

6. Temporary Guardian Authorization: Authorization for temporary caregivers to consent to medical treatment - include when child may be under others' care

Suggested Schedules

1. Schedule A - Authorized Medical Procedures: Detailed list of specific medical procedures or treatments being authorized

2. Schedule B - Medical History Form: Comprehensive medical history including vaccinations, previous conditions, and allergies

3. Appendix 1 - Emergency Protocol: Step-by-step protocol for emergency situations including contact hierarchy

4. Appendix 2 - Required Documentation: List of documents required to be presented with the consent form (e.g., Emirates ID copies, insurance cards)

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




















Clauses
















Relevant Industries

Healthcare

Education

Insurance

Child Care Services

Sports and Recreation

Emergency Services

Medical Tourism

School Healthcare

Relevant Teams

Legal

Compliance

Medical Administration

Patient Relations

Emergency Services

School Administration

Risk Management

Medical Records

Insurance Coordination

Quality Assurance

Relevant Roles

Medical Director

Hospital Administrator

School Nurse

Pediatrician

Emergency Room Physician

Legal Compliance Officer

Medical Records Manager

School Principal

Healthcare Facility Manager

Risk Management Officer

Patient Relations Manager

Insurance Coordinator

Medical Legal Advisor

School Administration Manager

Industries





Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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