CPS Watch -> Legal -> Forms -> Preservation of Parental Rights Letter
—to Send to Medical Providers
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[Date] [Medical Provider Name and Address] Re: Preservation of Parental Rights Dear [Medical Provider]: |
| This letter is to inform you that I am the traditional and legal parent of [child’s full name], born on [date of birth]. My parental rights have not been modified or terminated. |
| As my child’s legal parent, I am entitled to manage [his/her] medical care, consent to such care, be present at all appointments and to have a copy of all medical records. |
| [Optional] I am now requesting that a complete and correct copy of my child’s medical file be sent to me. |
| [Optional] I wish to be present at all medical appointments and require [##] hours notice prior to the appointment. |
| No other person holds parental rights or the right to consent to medical treatment of my child. |
| My child is currently detained in foster care. Foster caregivers do not have parental rights and cannot consent to medical care under any circumstances. State agents may consent to medical care in a true emergency only if the parents can’t be located and every effort to contact them has been made. |
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In an emergency, I may be reached at [give plenty of ways to contact you]. |
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I am requesting that a copy of this letter be placed in my child’s medical file. Sincerely, <signature> |