Sample letter for consent for medical care

Sample letter for consent for medical care


My mother Mrs. Julia Patrice, who stays in Boston, is a heart patient for 10 years, she needs regular medical attention.

I , Kevin Patrice, am studying in Los Angeles and not able to visit her regularly. For this reason, I give my consent to Dr. Tim Packman to take any and all medical decisions for her.

I also give my consent to Mrs. Rita Savio who is her caretaker to take her to the hospital or to the doctor. However, all the treatment related decision shall only be taken by Dr. Tim

Packman.
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