Medical Forms

In an emergency, you may not be able to tell your care providers about your complete medical history or you may be unavailable if your child needs attention in the emergency department of your local hospital. These forms are here to help you get the care you need in a life-threatening situation.

Emergency Information Form for Children with Special Health Care Needs 
ACEP and the American Academy of Pediatrics offer parents of children with special health care needs an Emergency Information Form – a tool to transfer a child's complicated medical history and critical information in the event of an acute illness or emergency injury.

Personal Medical History 
If you or a member of your family has a medical emergency, the physician will need a complete medical history. Complete this form (don’t forget to update it) and keep it in an easily accessible place. This form is convenient to use while you’re traveling.

Consent to Treat Form This Consent to Treat Form gives a physician permission to treat your child when he or she is in someone else’s care. Complete it and make sure grandparents and babysitters have access to it.

Formas de Consentimiento (Spanish Consent to Treat Form) 

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