رضایت نامه و وکالتنامه پزشکی-درمانی Authorize Medical Treatment

John and Jane Doe grant permission to Eric Johnson to act on our behalf to authorize necessary medical treatment for our son, Robert, while we are traveling abroad. This authorization is effective until July 30.

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Enclosed is a signed medical treatment authorization form giving you authority to make decisions and seek medical treatment for John Doe, Sr. from July 15 to July 31, while I am traveling abroad. I prefer that emergency treatment be given at Doe Hospital, if possible. You can reach me by phone at 555-5555, if necessary. I appreciate your accepting this responsibility.

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I authorize Doe Arms nursing home to administer emergency medical care to my mother, Jane Doe, in the event that I cannot be reached. This authorization extends only to times and circumstances in which my mother is in the express care of Doe Arms, in accordance with the terms of the care contract. Any non-emergency care must be authorized by me, on a case-by-case basis.

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In the event that I cannot be reached, I give my permission for the Sunshine Daycare Center to authorize emergency medical treatment that a physician deems necessary for the welfare of my infant son, Eric. Sunshine Daycare is limited to authorize emergency care only. This authorization is effective through April 15, 2007.

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