Treatment FAQ

when is parental consent not necessary for medical treatment

by Prof. Nick Swift Published 2 years ago Updated 1 year ago
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For example, all 50 states and the District of Columbia allow minors age 12 and older to access health care without parental consent for the treatment of STIs. Likewise, certain states and the District of Columbia allow minors to receive contraceptive services without notifying parents.

A mature minor is an adolescent younger than the age of majority. Such a minor can consent or refuse to consent to medical treatment if it is established that the minor is sufficiently mature to understand, discern and appreciate the benefits and risks of the proposed medical treatment.Sep 8, 2017

Full Answer

Do I need parental consent to see a therapist?

Do you need parent permission for therapy? In many states, if you are under the age of 18, you will need a parent’s permission to attend therapy. This is because in order to give any kind of treatment—medical or psychological—a patient’s consent must first be obtained.

Why do I need parental consent?

How you update your Microsoft account birth date depends if you're:

  • An adult.
  • A child above the statutory age (13 in most regions).
  • A child below the age of 13.

What legal age can you be treated without parental consent?

In most states, age 18 is the age of majority and thus, before treating a patient under the age of 18, consent must be obtained from the patient’s parent or legal guardian.

How do you write a medical consent form?

Part 2 Part 2 of 2: Writing a Medical Consent Form for Your Child Download Article

  1. Understand the purpose. A medical consent form for a minor is a way to give someone permission to obtain medical treatment for your child.
  2. Look for templates. You may be able to find a medical consent form template online. ...
  3. Begin to draft the document. ...
  4. Open with a grant of authority. ...
  5. Identify your children. ...
  6. Include medical information. ...

More items...

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Can parents refuse medical treatment for their child?

Parents have the responsibility and authority to make medical decisions on behalf of their children. This includes the right to refuse or discontinue treatments, even those that may be life-sustaining. However, parental decision-making should be guided by the best interests of the child.

Is it always necessary to get patient consent?

Most of the time, yes. While your informed consent is usually required, there are two exceptions where your doctor does not need to have your informed consent before beginning treatment. Simple and Common Exception: The first occurs when a "simple and common" procedure, such as a typical blood screening is performed.

Do parents have the right to make medical decisions?

Parents have the legal responsibility to make medical decisions in the best interests of their minor children who lack decision-making capacity, but they also have the ethical duty to develop that capacity.

Should a doctor be able to provide medical care to a minor despite their parents wishes?

Under the law, children are entitled to protection and appropriate medical treatment despite their parents' religious views. Most states require parents to provide a reasonable degree of medical care for their children. Otherwise, they may face legal consequences, regardless of their religious beliefs.

In what situations is consent not required?

The only exceptions are: in an emergency when the patient lacks capacity and the patient's express wishes are unknown; or • where the law otherwise allows or requires treatment to be given without consent.

In what situation is informed consent not needed?

Several exceptions to the requirement for informed consent include (1) the patient is incapacitated, (2) life-threatening emergencies with inadequate time to obtain consent, and (3) voluntary waived consent.

What if parents disagree on medical treatment?

Legal Options When Parents Disagree on Medical Decisions If there is shared decision-making regarding medical issues and both parents cannot come to an agreement, the court will examine the facts both parties put forth and determine what is in the best interest of the child.

What happens when parents disagree on medical decisions?

If your child's legal custodian refuses a life-saving or life-improving medication, surgery, vaccine, or other medical procedure and you disagree, you can petition the court for intervention.

When can parental authority make medical decisions for their children challenged?

FC Section 6929 – States that a minor, twelve (12) or older can consent to medical care and counseling relating to the diagnosis and treatment of a drug or alcohol related problem.

Can doctors override parents decisions?

That is, because of the existence of an emergency, treatment is legally permissible, and the court does not need to adjudicate the best interest of the child in approving the physician's decision to override a parental refusal for treatment.

In what instances does the provider not have to obtain informed consent?

In an emergency, if a person is unconscious and in danger of death or other serious outcomes if medical care is not given right away, informed consent may not be required before treatment.

When can the government override a parent's medical decision in the US?

If the child's parents are not acting in the best interest of their welfare, the state can override parental decisions. At the end of the day, the child's life is the primary concern. A parent can face loss of custody or criminal charges for failing to provide the necessary medical care for their child.

What happens if a parent refuses medical care for a minor?

When parents refuse necessary or life-saving care for their child, they could face serious legal consequences as well. States often refer to this as medical neglect and have laws against it.

Who can report medical decisions to parents?

In most states, anyone can report parents for their medical decision making regarding their children, including: The child. Doctors, nurses, or other medical staff. Social workers or counselors.

What happens if a parent is convicted of child abuse?

Parents convicted of these criminal charges may also lose custody of their parental rights.

What are the decisions parents make when their child is sick?

When a child is sick, parents need to decide when to see a physician or agree to a course of treatment. Other medical decisions are preventative, such as whether to vaccinate a healthy child. What seems like an easy decision for one parent is often a difficult decision ...

What is the expected outcome of a child's treatment?

The expected outcome of that treatment is a relatively normal life with a reasonably good quality of life. The child would die without the treatment. The parent is refusing to grant consent for the treatment.

Can a parent refuse medical treatment for a minor?

If any of the factors described above are not present, then states typically defer to parents regarding medical treatment for their minor child. Outside of these circumstances, parents have the right to consent or refuse medical treatment for their children.

Does the state have to intervene in child care?

Although health care decision-making is one of the rights reserved to parents, there are some cases where the state must intervene to protect the child. Many courts will allow a state child protection agency to make medical decisions for a child if:

Can Courts Order Families to Attend Counselling?

One issue that has recently emerged deals with the intersection of consent and the court’s practice of ordering parties in family proceedings to pursue therapy to mitigate conflict, facilitate family relationships, and ensure that parenting arrangements will meet the needs of children.

Therapeutic Orders can be Justified to Protect Families

Despite courts having jurisdiction to make therapeutic orders, is the consent of parents or children still required? For consent to be required under the HCCA before a therapeutic order can be made there must be a finding that 1) the therapeutic order constitutes “treatment”, and 2) that it is administered by a “health practitioner” as defined by the HCCA.

Giving Weight to the Views of Minor Children

The tension between the child’s best interests standard in family law, parental decision making, and the right of mature minors to make independent decisions regarding medical treatment are issues that courts continue to balance.

Assessing the Right of Mature Minors to Make Independent Treatment Choices

Courts continue to have a role assessing whether treatment accords with a child’s best interests and whether they have capacity to consent.

Contact Boulby Weinberg LLP in Toronto for Guidance on Medical Consent for Minors

The lawyers at Boulby Weinberg LLP in Toronto focus exclusively on family law matters and have experience helping clients navigate parenting matters providing the resources to make informed child-focused decisions. Our lawyers can help you with solutions tailored to your unique circumstances.

How old do you have to be to consent to a minor's health care?

A minor may consent to the minor’s own health care if the minor is: (i) At least 14 years of age; (ii) Not dependent on a parent for support; (iii) Living apart from the minor’s parents or from an individual in loco parentis; and. (iv) Managing the minor’s own affairs. KANSAS. Kan. Stat. § 38-123b.

Who can give consent to a minor?

Consent to the performance upon or for any minor by any licensed medical, surgical, dental, psychological or osteopathic practitioner or any nurse practitioner/clinical nurse specialist or any hospital or public clinic or their agents or employees of any lawful medical treatment, and to the furnishing of hospitalization and other reasonably necessary care in connection therewith, may be given by:

What is the law in North Dakota for unaccompanied minors?

SB 2265 (2021) An unaccompanied homeless minor 14 years of age or older may consent to, contract for, and receive medical, dental, or behavioral health examinations, care, or treatment without permission, authority, or consent of a parent or guardian.

How old do you have to be to give consent to a hospital?

Notwithstanding any other provision of law, a minor fourteen (14) years of age or older who may have come into contact with any infectious, contagious, or communicable disease may give consent to the furnishing of hospital, medical and surgical care related to the diagnosis or treatment of such disease, if the disease or condition is one which is required by law, or regulation adopted pursuant to law, to be reported to the local health officer. Such consent shall not be subject to disaffirmance because of minority. The consent of the parent, parents, or legal guardian of such minor shall not be necessary to authorize hospital, medical and surgical care related to such disease and such parent, parents, or legal guardian shall not be liable for payment for any care rendered pursuant to this section.

What age can you give consent to abortion?

A minor 12 years of age or over who professes to be either pregnant or afflicted with contagious, infectious or communicable diseases within the meaning of Chapters 5 and 7 of Title 16, or who professes to be exposed to the chance of becoming pregnant, may give written consent, except to abortion, to any licensed physician, hospital or public clinic for any diagnostic, preventive, lawful therapeutic procedures, medical or surgical care and treatment, including X rays, by any physician licensed for the practice of medicine or surgery or osteopathic medicine or surgery in this State and by any hospital or public clinic, their qualified employees or agents while acting within the scope of their employment.

How old do you have to be to get medical care in Alaska?

Any minor who is 14 years of age or older, or has graduated from high school, or is married, or having been married is divorced or is pregnant may give effective consent to any legally authorized medical, dental, health or mental health services for himself or herself, and the consent of no other person shall be necessary. ALASKA.

What age can a minor get a shot?

A minor age 11 or older may consent to receive a vaccine where the vaccination is recommended by the United States Advisory Committee on Immunization Practices. The law also establishes that if a minor is able to comprehend the need for, the nature of, and any significant risks inherent in the medical care then informed consent is established.

When doctors believe that parental decisions are not in the best interests of the child, it may be necessary to seek a?

Where doctors believe that parental decisions are not in the best interests of the child, it may be necessary to seek a view from the courts, while meanwhile only providing emergency treatment that is essential to preserve life or prevent serious deterioration.

What are the responsibilities of parents in respect of their child's healthcare?

The responsibilities parents have in respect of their child's healthcare, including consent to treatment. Parental responsibility is a legal concept that consists of the rights, duties, powers, responsibilities and authority that most parents have in respect of their children. It includes the right to give consent to medical treatment - ...

What is parental responsibility?

Parental responsibility includes the right of parents to consent to treatment on behalf of their children, provided the treatment is in the interests of the child. Those with parental responsibility have a statutory right to apply for access to their children’s health records, although if the child is capable of giving consent, ...

Can a child consent to diagnosis and treatment on their own behalf?

In addition, competent children can consent to diagnosis and treatment on their own behalf if they understand the implications of what is proposed (see guidance).

Can a child give consent to medical treatment?

It includes the right to give consent to medical treatment - although as is discussed in the guidance, this right is not absolute - as well as, in certain circumstances, the freedom to delegate some decision-making responsibility to others. In addition, competent children can consent to diagnosis and treatment on their own behalf if they understand the implications of what is proposed (see guidance).

What is the legal authority of a minor to refuse medical care?

If none of the 3 scenarios described previously (emancipation, mature minor, or condition-specific exceptions) are applicable, then the minor has no legal authority to either provide consent or refuse medical care. Regardless of whether a child has the legal authority to provide or withhold consent, it is always prudent to attempt to get the child's agreement or assent to treatment and transport. This approach respects the personal dignity and self-determination of the child/patient and minimizes confrontation. A willingness to provide the child with some control and some choice might allow for a compromise that allows transport personnel to achieve a safe transfer. Using force or restraint to evaluate, treat, or transport a child should be reserved only for those situations in which all efforts to negotiate respectfully with the child have failed and the child is at risk of serious harm if he or she is not restrained. In these unusual circumstances, appropriate measures should be taken to ensure the safety of the patient.

What is the legal basis for taking action in an emergency when consent is not available?

The legal basis for taking action in an emergency when consent is not available is known as the “emergency exception rule.”

What is an emancipated minor?

In general, an emancipated minor can function as an adult, independent from his or her parents, with regard to consent for medical evaluation and treatment. 23 Children who are legally emancipated may give consent for medical treatment and transport. They may also refuse medical care and/or transport. Although emancipated minor laws vary from state to state, most states recognize minors to be emancipated if they are married, economically self-supporting and not living at home, or on active-duty status in the military. In some states, a minor who is a parent or who is pregnant might also be considered emancipated. Other states might require a court to declare the emancipation of a minor.

What are the 3 situations in which a minor, rather than his or her parents, has the legal authority to make?

There are 3 situations in which a minor, rather than his or her parents, has the legal authority to make decisions regarding his or her health care : emancipation; the mature minor exception; and exceptions based on specific medical conditions. In fact, every state has enacted minor consent statutes that address some or all of these exceptions to the “general rule.” 21, 22

What is the burden of proof for a minor?

Any time a minor is treated without consent, the burden of proof falls on the professional who is evaluating, treating, or transporting the child to justify and document that the emergency actions were necessary to prevent imminent and significant harm to the child. In addition to actions necessary to save a person's life and prevent permanent disability or harm, the treatment of fractures, infections, pain, and other conditions may broadly be considered as emergent conditions that require treatment. As a general rule, health care professionals should always do what they believe to be in the best interest of the minor. The emergency exception exists to protect the health care professional from liability with the assumption that if the parents were present, they would consent to treatment. 20 The professional must clearly document in the child's record the nature of the medical emergency and the reason the minor required immediate treatment and/or transport and the efforts made to obtain consent from the patient's legal guardian, if unavailable. 15

Can EMS providers contact their parents?

EMS providers and EMS medical directors caring for minors might find it difficult or impossible to make real-time contact with parents or legal guardians of patients, despite the increased availability of communication tools in the prehospital environment (eg, cell phones). Although most EMS systems promote a good-faith effort on the part of the prehospital provider to make contact with the parents and legal guardians of minors, many systems do not have formal policies addressing the lack of informed minor or parental consent. If at all possible, an assessment should be performed to determine if there is a medical emergency, and medical consultation should be sought if the emergency medical technicians are unclear about whether a threat to life or limb exists. If parents are present or accessible and refuse care for their injured or ill child, they must be informed of the risk of not transporting a sick or injured pediatric patient, which might include death or permanent disability. Regardless of religious beliefs or parental desires, every attempt should be made to treat and/or transport a child with a life-threatening emergency or if providers suspect child abuse. EMS providers should involve medical control early in these situations and use law enforcement resources as necessary to ensure that the patient receives the necessary emergency stabilization and transport.

Can a minor consent to a medical procedure?

Unless a minor is allowed to consent under the law, health care professionals should consider delaying all nonurgent diagnostic and treatment decisions until the parent or legal guardian can be reached for informed permission or consent.

Why do parents refuse antibiotics?

If parents refuse antibiotics because they know that their child has previously had a serious allergic reaction to those same antibiotics – it would be vital to pay attention to their concerns. In an older child, parents will often be able to provide evidence about the day to day life of the child, what they like or dislike, and how much their life is affected by illness or impairment. In Chapter 3, we discussed the significance for decisions of the burdens of treatment or illness, as well as the objective benefits of life-prolonging treatment. The views of parents may be highly relevant to an understanding of what life is really like for the child and hence whether it would be best to keep them alive or to allow them to die. However, sometimes parents’ assessment may differ from that of others caring for the child and it may not be clear whether parents’ views are overly positive (because of an understandable strong desire that their child is improving), or whether professionals are overly negative. In the Gard case, Charlie’s parents had spent hours at his bedside. They believed that he was aware of his surroundings and responding to them. In contrast, the nurses and doctors caring for Charlie in intensive care felt that he did not respond. A judgement may need to be made about which evidence should be believed. In the Gard case, the judge appeared to be more persuaded by the medical evidence.

What is the definition of parental discretion?

Situations where treatment might or might not be provided depending on the family’s wishes represent what Australian ethicist Lynn GIllam and her colleagues call the “zone of parental discretion”.11‘Discretion’ here is the idea that parents may decide one way or the other. As she describes it – this is the “ethically and legally protected space where parents may legitimately make decisions for their children, even if the decisions are … not absolutely the best for them.”12

Why do parents have to make decisions?

Finally, one overlapping reason for allowing parents to make a decision (where there is uncertainty) is because these decisions have profound effects on the parents themselves and other members of the family. Where a decision would lead to a child surviving, that will often result in a substantial burden of care for other family members. Where the decision would lead to the child dying, in most cases it is the parents and family who will carry the greatest emotional burden of the loss of the child. It is they who will have to live with decision.

Should parents make decisions about treatment for their children?

Where there is genuine moral uncertainty(uncertainty about what is the right thing to do), we should in general allow parents to make decisions about treatment for a child. Why? Here, perhaps, is where parental autonomy and parental wishes are relevant – parents have a right to decide within reasonable bounds about how to raise and care for their children. After the child, they will be the ones who are likely to be most affected by the decision. That especially includes decisions where there might be a range of different views about what to do. It would exclude situations that are clear-cut. In the case of the jaundiced baby Abigail, there is not any real uncertainty about what the right thing would have been. There is not likely to be reasonable disagreement about what her parents should have done. They should have taken her to a doctor.

Can parents refuse treatment for jaundiced babies?

As an example, in February 2017, a couple in Michigan refused medical treatment for their jaundiced newborn baby, Abigail. A midwife had visited and told the parents that the baby needed urgent treatment. However, Abigail’s parents believed that she would be healed by prayer. The baby died two days later from complications of newborn jaundice (a medical condition that is readily treatable).7In cases like this, we don’t think that parental autonomy gives parents a right to refuse treatment. There have to be some limits.

Can parents refuse medical treatment?

But the autonomy of parents is very obviously different from the autonomy of patients to make decisions for themselves. While adult patients are generally thought to have an absolute right to refuse medical treatment for themselves, we don’t usually think that parents can refuse all medical treatment for their children.

Was Charlie Gard in a position to understand his medical condition?

In the real Charlie Gard case, however, we could not give anyweight to the autonomy of the patient, to Charlie’s wishes. He was never in a position to understand his medical condition or to develop values relevant to the decision. His parents, though, clearly did have values and views about his treatment.

What is a minor medical consent?

A minor (child) medical consent is a legal document providing someone other than the parent or legal guardian temporary rights to seek and provide healthcare and healthcare decisions on behalf of their child. Common individuals who receive such consent are grandparents, daycares, babysitters, teachers, step-parents, sports coaches, ...

Who would like to provide another entity or individual limited consent to obtain medical care for your child?

A parent or legal guardian would like to provide another entity or individual limited consent to obtain medical care for your child.

When requesting an individual to be a guardian, it will be ideal for them to fully understand the child?

When requesting an individual to be a guardian, it will be ideal for them to fully understand the child’s medical history. Therefore, the parent (s) should ensure the child has had a recent appointment to certify that all vaccinations, allergies, medical history, surgery, current medications, health issues and/or concerns are up to date.

Should a child's medical history be reported to the guardian?

If there are any current prescriptions or medications that the child is on this should be included when reporting the child’s medical history to the guardian. Especially if the guardian is expected to oversee the child’s medical intake.

Is the parent's signature a mandatory tool?

4 – The Parent Or Current Guardian’s Signature Is A Mandatory Tool Of Execution

Can a parent give medical consent to a child?

How to Give Medical Consent for a Child. Depending on the State, there may be certain laws that require the parent (s) or legal guardian (s) to grant power of attorney for a child instead of a simple medical consent.

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