Medical Authorization Form



A medical authorization form is a document issued by an authorized person or guardian to allow someone else to give medical attention in event of an emergency.

This form contains information such as the contact information of the next of kin, insurance details, person’s medical history and also medication used previously. A sample medical authorization form is shown below.

You can Download the Medical Authorization Form, customize it according to your needs and Print. Medical Authorization Form is either in MS Word and Editable PDF.

Sample Medical Authorization Form

Medical Authorization Form

Download Editable Medical Authorization Form for only $4.99

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Category: Medical Forms

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