A Medical consent form template is a document, which acts as an evidence whenever an individual has to undergo any medical treatment. Medical consent is a permission granted by the relative or the doctor of the individual. It is a signed document, which approves a patient to undergo medical supervision.
Sample Medical Consent Form Template:
If there is any emergency, I give the consent to ___________________ [name of the hospital or medical clinic] to take the authority of medical treatment for my wife and child whose details are mentioned below:
___________________________________ _________________________
[Name of the wife] [Age of the wife]
_______________________________ ____________________________
[Name of the child] [Age of the child]
The name of our family doctor is _____________________ [name of the doctor]
Address: ______________________________ [residential address of the doctor or the address of the medical clinic]
Telephone number: _____________________ [telephone number of the doctor’s residence or his clinic]
My contact details:
___________________ [name]
___________________ [address]
___________________ [telephone number]
Signed by: ________________________ [signature of the individual]