In an emergency, medical professionals often need to act quickly. If you’re unconscious, travelling, or otherwise unable to provide immediate consent, a Medical Consent Letter ensures your wishes are respected and care isn’t delayed.

A Medical Consent Letter gives a trusted individual or healthcare provider formal authority to proceed with treatment on your behalf.

This document is especially useful in healthcare planning, travel situations, or for carers and guardians of children or vulnerable adults.

What is a Medical Consent Letter?

A Medical Consent Letter is a written authorisation that allows a healthcare provider or other named person to approve medical treatment on your behalf if you are incapacitated or unavailable. It may include permission for emergency surgery, release of medical records, and other necessary actions to protect your health.

It’s commonly used by:

• Individuals with known health risks
• Travellers who may be separated from family or medical care
• Parents or guardians giving consent for a child’s care while in someone else’s supervision
• Elderly or vulnerable adults appointing someone to make urgent decisions

This letter is not the same as a long-term medical power of attorney, but it can serve a vital role in short-term or situational care.

When Should You Use a Medical Consent Letter?

You should consider using this letter when:

• You are travelling or living abroad
• You are undergoing a procedure that may involve risk and want to pre-authorise action
• You are leaving a child in someone else’s care temporarily (e.g. school trips, holidays)
• You are responsible for someone with medical needs but without authority to make decisions
• You are in a high-risk job or activity where accidents may occur

Without a letter, care may be delayed while medical staff attempt to reach next of kin or secure consent through legal means.

Medical Consent Letter – free template

I, [Name], hereby authorise any licensed medical professional to take necessary medical action on my behalf, including administering treatment, performing surgical procedures, and accessing relevant medical records, if I am unable to provide immediate consent due to injury, illness, or incapacity.

Personal Information
Full Name:
Date of Birth:
Passport Number:
Contact: [Phone and/or Email]

Emergency Contact
Name: 
Relationship:
Phone:
Email:

Medical Conditions and Medications
Allergies:
Conditions:
Medications:

This consent is valid until I can provide direct consent or until revoked in writing. I accept responsibility for any healthcare decisions made on my behalf during this period.

Signature
This Letter has been signed digitally.

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