Medical Treatment Authorization Letter Template for New Zealand

1. Insurance Information: Details of medical insurance coverage, policy numbers, and billing instructions - include when treatment may involve insurance claims

2. Medical History Summary: Brief overview of relevant medical history, allergies, or conditions - include for ongoing or complex medical situations

3. Travel Details: Information about travel dates and locations if authorization is for treatment while traveling

4. School/Organization Details: Specific information about school or organization if authorization is for a specific institutional context

5. Alternate Decision Maker: Designation of an alternate person to make decisions if primary authorizer cannot be reached

6. Religious or Cultural Preferences: Any specific religious or cultural considerations that should be respected in medical treatment

1. Proof of Identity: Copies of identification documents for both the authorizing party and the patient

2. Legal Authority Documentation: Documents proving the authorizing party's legal right to make medical decisions (e.g., guardianship papers, power of attorney)

3. Medical History Documents: Relevant medical records or history that may be necessary for treatment

4. Insurance Cards: Copies of current insurance cards or coverage documentation