Minor Medical Consent Form

Minor Medical Consent Form Template for England and Wales

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Key Requirements PROMPT example:

"I need a Minor Medical Consent Form for my 14-year-old daughter's ongoing orthodontic treatment at London Bridge Dental Practice, starting January 2025, with specific provisions for emergency procedures and photography consent for treatment monitoring."

Document background

The Minor Medical Consent Form is a crucial document required in England and Wales whenever medical treatment is proposed for a person under 18 years of age. It ensures compliance with legal requirements established by the Children Act 1989 and related legislation. The form demonstrates that informed consent has been properly obtained from those with parental responsibility, while also acknowledging situations where mature minors may have capacity to consent under Gillick competence principles. This document is essential for healthcare providers to demonstrate they have obtained proper authorization before proceeding with treatment.

Suggested Sections

1. Patient Information: Minor's full name, date of birth, address, and NHS number

2. Parent/Guardian Information: Details of person with parental responsibility providing consent

3. Medical Procedure Details: Description of treatment/procedure requiring consent

4. Consent Declaration: Formal statement of consent and understanding

5. Healthcare Provider Information: Details of medical facility and practitioners

Optional Sections

1. Emergency Contact Alternative: Secondary contact details - recommended for ongoing treatments

2. Gillick Competence Assessment: For mature minors under 16 who may have capacity to consent

3. Interpreter Declaration: Where translation services are used

4. Photography Consent: When medical photography may be required

Suggested Schedules

1. Medical History Form: Detailed medical background information

2. Procedure Information Sheet: Detailed explanation of medical procedure

3. Risk Disclosure Document: Comprehensive list of potential risks and complications

Authors

Alex Denne

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

alex.den.21@genieai.co

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Minor Medical Consent Form Template for England and Wales

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