Consent To Treat Minor Form

Consent To Treat Minor Form Template for Hong Kong

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Key Requirements PROMPT example:

"I need a Consent To Treat Minor Form for my son's ongoing diabetes treatment at Hong Kong Central Hospital, starting January 2025, with specific authorizations for regular blood testing and insulin administration."

Document background

The Consent To Treat Minor Form is a critical document used across healthcare facilities in Hong Kong when providing medical care to patients under 18 years of age. This document is essential for ensuring legal compliance with Hong Kong's healthcare regulations and protecting both healthcare providers and minor patients. The form becomes necessary when any medical treatment, examination, or procedure needs to be performed on a minor, whether in routine, emergency, or specialized care situations. It typically includes detailed patient and guardian information, scope of authorized treatments, emergency contacts, and relevant medical history. The document must comply with Hong Kong's Age of Majority Ordinance, Medical Registration Ordinance, and Personal Data (Privacy) Ordinance, among other relevant legislation.

Suggested Sections

1. Patient Information: Minor's full name, date of birth, Hong Kong ID number (if applicable), address, and relevant medical record numbers

2. Parent/Legal Guardian Information: Full name, relationship to patient, contact information, and Hong Kong ID number of the person authorized to give consent

3. Authority to Consent: Clear statement of the parent/guardian's legal authority to consent on behalf of the minor

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

5. Duration of Consent: Timeframe for which the consent remains valid

6. Emergency Contact Information: Alternative contacts in case the primary guardian cannot be reached

7. Acknowledgment and Declaration: Statement confirming understanding and voluntary consent, including any risks that have been explained

Optional Sections

1. Medical History: Section for relevant medical history, allergies, and current medications - include when form will be used for ongoing or complex treatment

2. Specific Treatment Exclusions: List of any treatments or procedures specifically not authorized - include when parents have specific religious or personal restrictions

3. Interpreter Declaration: Section for interpreter details and confirmation of accurate translation - include when parent/guardian is not fluent in the language of the form

4. Photography Consent: Authorization for medical photography or imaging - include when relevant to treatment or teaching purposes

5. Research Participation: Consent for participation in research or teaching activities - include in academic medical settings

Suggested Schedules

1. Schedule 1 - Medical Procedures List: Detailed list of specific medical procedures being authorized

2. Schedule 2 - Risk Disclosure: Comprehensive list of potential risks and complications associated with authorized treatments

3. Appendix A - Supporting Documentation: Space for attaching relevant legal documents proving guardianship or custody arrangements

4. Appendix B - Hospital Policies: Reference to relevant hospital policies and procedures affecting minor patients

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

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Medical Services

Pediatric Care

Emergency Medicine

Primary Care

Hospital Administration

Medical Education

Clinical Research

School Health Services

Sports Medicine

Relevant Teams

Legal

Compliance

Medical Records

Patient Administration

Clinical Operations

Risk Management

Quality Assurance

Patient Services

Emergency Department

Pediatrics

School Health Services

Relevant Roles

Medical Doctor

Pediatrician

Emergency Physician

Nurse Practitioner

Registered Nurse

Hospital Administrator

Clinical Director

Medical Records Officer

Legal Compliance Officer

Risk Management Officer

Patient Services Manager

Healthcare Facility Manager

Medical Secretary

Admissions Officer

School Nurse

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Authors

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