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Medical authorization for a child traveling with another adult, any destination

A grandparent, an aunt or a chaperone is taking your child on a trip, near or far, and you will not be there if the child gets sick. This one-trip document lets the parents name that adult, say whether the adult may consent to emergency care only or to routine care as well, and put the child’s allergies, medicines and insurance on a single signed page, in English and Spanish side by side. It does not depend on the destination, so it fits a flight to the Caribbean, a road trip across state lines or a school group abroad. For a Mexico trip, our Mexico page adds the Mexican rule on emergencies.

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When a medical authorization helps, and what the sources say

Who may say yes to a child’s treatment when no parent is present is decided by the law where the child is treated, and the rules differ. Inside the United States it is state law. Texas, for example, lets a grandparent, an adult brother or sister or an adult aunt or uncle consent to a child’s medical treatment when the person with the right to consent cannot be contacted and has not said otherwise, and it also lets an adult who has actual care of the child consent if a parent has given that adult written authorization. [1] Other states have their own rules, which we did not review.

Abroad, we cannot tell you what a given country or clinic will do. We read no foreign rule for this page, so we do not say that any country treats a parent’s signed authorization in any particular way, and we do not claim a clinic will accept this one.

What the sources do support is planning ahead. The CDC advises families to plan where they will get health care at the destination, to buy travel insurance for unexpected events and to pack a travel health kit. [2] Putting the child’s allergies, medications and policy number on one signed page serves the same purpose: whoever is treating the child sees it at once.

CBP’s guidance for a child traveling with an adult who is not a parent lists the custody adults’ names and contact details among the things a travel letter should give. [3] This authorization repeats the parents’ phone numbers and asks that they be contacted as soon as possible if the child needs care.

USA.gov tells families that the destination’s embassy or consulate can explain its entry requirements for children. [4] The same office is a sensible place to ask how local clinics deal with a minor who arrives with someone other than a parent.

It is a companion to a travel authorization, not a replacement for one: it says nothing about crossing a border. Our any-destination travel authorization is the matching document for that.

What the document includes

How it works

  1. Choose the scope, then enter the parents, the adult who travels with the child and each child’s health details. Leave optional sections empty when they do not apply.
  2. Check the free, watermarked preview. Nothing is stored to make it.
  3. Pay once ($12, no subscription) and download the PDF.
  4. Print it. Each parent signs in front of a notary public with photo ID; the notary’s acknowledgment shows who signed.
  5. Give the original to the traveling adult, photograph every page for the parents and keep the insurance card with it. [2]

Is there a free official form?

We found no standard form published by the federal government for a medical consent covering a child who travels with another adult. A pediatrician’s office, a school, a camp or an insurer may have its own, and where one exists you are free to use it instead.

Some states publish forms for authorizing a caregiver to consent to a child’s care. They are meant for an ongoing arrangement at home, while this document is limited to one trip.

Fill in your letter

All fields are required unless marked optional. Your free preview appears below the form.

Parent or legal guardian
Parent / guardian 1

Exactly as it appears on the ID.

If only one person signs

For example: sole custody, or the other parent has passed away.

Adult traveling with the child

A grandparent, relative, teacher or chaperone. Not a parent.

Children traveling
Child 1
Health insurance (optional)

Fill in the plan and policy number together, or leave this section empty.

Child’s regular doctor (optional)

Fill in the name and phone together, or leave this section empty.

What care the companion may consent to
Trip

Frequently asked questions

Will a clinic abroad accept this?

We cannot say. Each country and clinic sets its own rules, and we read no foreign rule for this page. The document gives the clinic the parents’ consent in writing, with contact numbers and health details, in two languages. USA.gov suggests asking the destination’s embassy or consulate what it expects. [4]

Can a grandparent already consent to treatment without this?

It depends on the state or country. Texas, for example, allows it for a grandparent in some circumstances when no parent can be reached. [1] A clinic may still ask for something in writing, and this document is meant for that.

Is this a power of attorney or a guardianship?

No. It covers medical consent for one trip, lists what it excludes and says in plain words that it does not transfer custody, guardianship or parental authority.

Which scope should I choose?

Choose emergency only if you want the traveling adult to consent to nothing else. Choose emergency and routine if the child may need care for an everyday illness or a minor injury while away.

Should I list medications and allergies?

It helps whoever treats the child, but it is optional. Enter only what you are comfortable printing on a document the traveling adult will carry. The CDC suggests packing a travel health kit for the unexpected as well. [2]

Do both parents have to sign?

If both have parental authority, add both. If only one signs, the form asks why and prints your answer.

Is this legal or medical advice?

No. We are not a law firm and not a medical provider. The document is generated from a fixed template. Ask a licensed attorney about a custody question and your pediatrician about care.

What happens to the health details I enter?

Health details are personal, so the preview stores nothing, and after purchase your answers are encrypted and deleted with the PDF 30 days after delivery.

Sources

Rules last checked against these sources on .

  1. State of Texas (text read on Public.Law and FindLaw, which shows it current as of 2026-01-01). Texas Family Code section 32.001, Consent by Non-Parent (opens in a new tab). verified .
  2. Centers for Disease Control and Prevention, Travelers’ Health. Children and Travel (opens in a new tab) (published ). verified .
  3. U.S. Embassy & Consulate in Poland, U.S. Department of State. Child Travelers (CBP guidance) (opens in a new tab). verified .
  4. USA.gov. International travel documents for children (opens in a new tab) (published ). verified .