The medical consent form is basically filled by the parents or guardians of the child who is going to get the medical treatment. The parents or guardians can give permission for a single treatment or for all the treatments that the child may require in the future.
Date of birth
Health fund details
Emergency contact details
I understand that I am responsible for the payment of all medical services rendered.
I hereby release the medical facility and its staff from any and all liability that may arise from the provision of medical care and treatment to me or my child. I understand that this consent form will remain valid for a period of one year from the date of signing. After this time a new form will need to be completed.