Family Authorization
Child Travel and Medical Authorization
Let a trusted adult travel with your child and consent to medical care while you are not there — within the dates, destinations, and limits you set.
Available product levels
Customized Agreements
$29.99Guided questions and tailored clauses for agreements that need specific protections.
When to use this document
- A child travelling with a grandparent, relative, family friend, or coach
- A school trip, camp, or sports tournament where a parent is not present
- A child staying with someone else while parents travel separately
- Parents who want a written record of who may consent to treatment, and how far that goes
Information you will need
- Both parents' or guardians' names, addresses, and reachable phone numbers
- The child's full legal name, date of birth, and home address
- The authorized adult's details and their relationship to the child
- The trip: dates, destinations, transportation, and where the child will stay
- Medical consent scope, plus allergies, medications, conditions, physician, and insurance
- Any limits you want on the adult's authority, and a backup emergency contact
What you receive
- An 11-article travel and medical authorization
- Signature blocks for both parents or guardians, a witness, and a notary
- Completion and signing instructions, including what recipients will ask for
- PDF and editable DOCX after purchase
Special situations
- Only one parent signs — where both hold custody this is the most common reason the document is refused
- A custody order or parenting plan restricts travel or medical decisions; that order controls, not this form
- Travel that crosses a border, where carriers and border authorities apply their own requirements
- A child with a serious medical condition, where a provider may want more than a general consent
- A disagreement between parents about the trip — a form cannot resolve that
Jurisdiction
This document uses a general United States drafting baseline. It is not a power of attorney and does not transfer custody or guardianship. Many states limit how long parental authority may be delegated without court involvement, and consent, custody, and execution rules vary — confirm what applies where your child lives. Schools, hospitals, airlines, and border authorities commonly require their own forms and may not accept this document alone. Locke Direct is a document-production service, not a law firm. This document is generated from the information you provide and is intended to be reviewed by legal counsel of your choice before use.
Frequently asked questions
Is this a power of attorney?
No. It is a limited authorization letting a named adult travel with your child and consent to medical care within the scope you set. It does not transfer custody or guardianship, and it does not make the adult your child's legal representative.
Do both parents need to sign?
Where both hold custody, yes — and this is the single most common reason these documents get refused. A school, airline, or border officer presented with one parent's signature may decline it, and omitting a parent who should have signed can also create a dispute between you.
Will a hospital accept it?
Usually it helps, but no document can guarantee acceptance. Providers exercise their own judgement, and many have their own consent forms. Notarizing it and giving a copy to the provider in advance both improve the odds considerably.
Will an airline or border officer accept it?
For travel crossing a border, carriers and border authorities apply their own requirements, and several expect a notarized consent plus evidence the other parent agrees. Check what the destination expects well before the trip rather than at the gate.
How long can the authorization last?
You set start and end dates, and you should keep them tied to the actual trip. Many states limit how long a parent may delegate authority without court involvement, so a long or open-ended period is more likely to be questioned. Confirm the limit where your child lives.
What is the difference between the two medical consent scopes?
Routine and emergency lets the adult deal with an ordinary illness or injury without reaching you first. Emergency only keeps routine decisions with you — which preserves your control, but can mean a provider waits to reach you before treating something minor.
What happens if a custody order says something different?
The court order controls. This document cannot expand what a parenting plan or custody order permits, and signing it does not override a restriction on travel or on medical decision-making.
Should I have it notarized?
It is not always required, but recipients being asked to rely on it usually want it, and border authorities frequently expect it. For a trip that matters, notarize it.
Why does it ask for allergies and medications?
Because a provider treating your child will not know unless it is written down. This is the part of the document most likely to prevent actual harm, so be complete about doses and timing rather than approximate.
Does the insurance information guarantee the visit is covered?
No. It helps a provider bill and verify coverage, but authorization to treat is not a promise of payment. Inaccurate details tend to surface later as an unexpected bill.
How do I cancel it?
Tell everyone holding a copy — the authorized adult, and any school or provider you sent it to. A revocation does not protect you against someone who has not been told about it.
Can I limit what the adult may decide?
Yes, and you should. There is a field for additional limits, and anything you do not want the adult deciding belongs there. Without limits the document reads as broader permission than you may intend.
What if my child travels regularly with the same person?
Complete a fresh authorization for each trip or defined period rather than one open-ended document. Recipients trust a current, trip-specific authorization more, and long delegations attract more scrutiny.
When should I talk to a lawyer instead?
If the parents disagree about the trip, if a custody order restricts travel or medical decisions, if there is any dispute about who may consent, or if your child has a condition where treatment decisions could be contested.
Related documents and guides
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Last reviewed July 29, 2026.