Consent To Treat Minor Form Template for Denmark

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Consent To Treat Minor Form

Document background

The Consent To Treat Minor Form is a crucial document in Danish healthcare settings where medical treatment needs to be administered to individuals under 18 years of age. This form becomes necessary when parents or legal guardians may not always be immediately available to provide real-time consent for medical treatment. Under Danish law, particularly the Health Act (Sundhedsloven), healthcare providers must obtain proper authorization before treating minors, except in emergencies. The form typically includes comprehensive patient information, medical history, specific treatment authorizations, and emergency contacts, while ensuring compliance with GDPR requirements for handling personal health data. It's particularly relevant for ongoing medical care, school-related activities, sports programs, and situations where minors may need medical attention while under the care of others.

Suggested Sections

1. Patient Information: Minor's full name, date of birth, address, and personal identification number (CPR number)

2. Parent/Guardian Information: Full names, contact details, and relationship to minor of all legal guardians, including documentation of custody arrangements if relevant

3. Emergency Contacts: Alternative contacts if parents/guardians cannot be reached, including their relationship to the minor

4. Medical History: Brief overview of relevant medical history, allergies, current medications, and existing conditions

5. Consent Authorization: Specific medical treatments and procedures being authorized, including routine examinations, emergency care, and administration of medications

6. Duration of Authorization: Time period for which the consent is valid, including expiration date if applicable

7. Privacy Notice: GDPR-compliant statement about how medical information will be collected, used, and protected

8. Signature Block: Space for dated signatures of all required parties, including witness signatures if required

Optional Sections

1. Special Medical Instructions: Used when the minor has specific medical needs, dietary restrictions, or requires special care instructions

2. Religious or Cultural Preferences: Include when there are specific religious or cultural considerations that may affect medical treatment

3. Telehealth Consent: Added when remote medical consultations might be needed

4. Translation Declaration: Required when the form has been translated from Danish, certifying accuracy of translation

5. Custody Documentation: Needed in cases of divorced parents, shared custody, or legal guardianship arrangements

6. Mental Health Treatment Authorization: Include when mental health services might be needed

Suggested Schedules

1. Schedule A - List of Authorized Treatments: Detailed list of specific medical procedures and treatments being authorized

2. Schedule B - Medical History Form: Detailed medical history questionnaire to be completed by parents/guardians

3. Appendix 1 - Emergency Protocol: Step-by-step protocol for emergency situations when parents cannot be reached

4. Appendix 2 - Healthcare Provider Information: List of approved healthcare providers and facilities covered by this consent

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