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Travel & consent letters
A sworn consent allowing a named caregiver to authorize medical or dental treatment for your child while the child is in their care — useful for travel, camps, or temporary stays.
Also known as
CONSENT FOR MEDICAL TREATMENT OF A MINOR CHILD
I, ______, of ______, in the Province of Ontario, MAKE OATH AND SAY that:
I am the ______ of ______, born on ______ (the "Child"), and I have lawful authority to consent to the Child’s health care.
The Child’s Ontario health card number is ______. Known allergies, conditions, or medications are: ______.
From ______ to ______, I authorize ______ (______) to consent on my behalf to medical, dental, and emergency treatment for the Child where I cannot be reached.
This authorization is subject to the following limits or instructions: ______.
I make this statement to confirm the caregiver’s authority to act in the best interests of the Child.
SWORN / AFFIRMED before me at the ______________________ of ______________________, in the Province of Ontario, this ______ day of ______________, 20______.
_______________________________ _______________________________
A Commissioner for taking Affidavits Signature of Deponent
How it works
Answer the questions on the left. Your document builds itself on the right as you type.
Get a clean, ready-to-sign PDF in seconds. No account, no watermark.
Book an appointment, bring your document, and we witness your signature and apply the seal.
It is a sworn statement in which a parent or guardian authorizes another trusted adult to make health-care decisions for their child during a defined period.
Hospitals, clinics, camps, and schools often ask for it when a child is in someone else’s care and a parent cannot be reached quickly.
You may need it when:
Have ready:
Fill in the form and download a clean, ready-to-sign PDF. Do not sign it yet — it must be signed in front of a notary public or commissioner for taking affidavits.
Book an appointment with Minute Notary. We administer your oath or affirmation, witness your signature, and apply the seal — online where eligible, or in person in Ottawa.
Frequently asked
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Fill it outFill it in online, download a ready-to-sign PDF, then bring it in and we will notarize it, in person across Ottawa or online.