Does the consent need to be signed by both parents?

Before surgery, your child's healthcare provider will carefully explain the procedure and its risks. You will be asked to sign an informed consent form. It states in detail that you understand the risks and benefits of your child's surgery.

One or both parents usually sign for a minor child. But if the child is living with a legal guardian, the legal guardian can sign. First, legal guardians will be asked to show proof that this legal relationship exists.

Parental (or legal guardian) consent is needed for any tests or procedures on a person under the age of 18. Because teens are able to contribute to informed decisions about their health and the treatment they will get, included in discussions about surgery. Although not legally needed, some older teens also like to sign the consent form for surgery with their parents.

Emancipated minors

An emancipated minor is a minor who has become a legal adult. An emancipated minor may consent to his or her own medical care. 

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Last updated: June 21, 2022

Let's be honest, as great as taking trips and creating new memories with your family is, being the parent responsible for getting everyone safely to the destination can be a hectic task. It's especially true when the kids outnumber you at an airport.

You already need to worry about getting everyone where they need to be on time and making sure no one forgot anything. The last thing you need is an airline, train, bus, or cruise ship company blindsiding you with a rule you didn't even know existed until you were checking in.

That's why we're going to let you know about the documents you need to gather before traveling with your children.

Proof of relationship with the child

Keeping your children safe is everyone’s top priority when traveling. That’s why you shouldn’t take it personally when the airliner asks you to prove that you are your child’s parent or guardian before allowing you to fly away with them.

For that reason, you should always have a document on you that proves your relationship with your child when traveling. This is particularly important if you and your child don't share the same last name and you want to avoid the complications that can come along with that when passing through security or crossing borders.

There are a variety of documents you can use, such as:

  • Adoption documents
  • Marriage certificate
  • Court order
  • Certificates of name change
  • The child’s birth certificates

Bringing the child's identification (ID) with you is also a good idea. Even though the Transportation Security Administration (TSA) doesn't require children under 18 years old to provide ID for domestic flights, some individual airlines do. It's best to take a ‘better safe than sorry’ approach.

Children over 15 years old might be able to use a school-issued ID or library card. However, a government-issued ID or birth certificate is your safest bet.

Your child will need a Child Travel Consent any time they're traveling without all their parents or legal guardians present. If your child is traveling alone, with only one parent, or with a non-legal guardian, they will require a Child Travel Consent signed by both parents or legal guardians. A Child Travel Consent is sometimes called a letter of permission to travel.

A Child Travel Consent essentially proves to the transportation providers and Custom Officers that both parents or legal guardians give the child authorization to travel by providing their signatures.

A Child Travel Consent needs to contain:

  • The child’s basic information (e.g., name, gender, birthday, and place of birth)
  • Both parents’ contact information
  • The traveling arrangements
  • The destination

If the child is traveling with a passport internationally, the Child Travel Consent should also include their passport information and birth certificate number.

If you have sole custody of your child, you may not need to have the other parent sign the document, but you should travel with a copy of your court custody documentation with you. In addition, if the child has a deceased parent, some airlines or countries might require the Child Travel Consent to include a copy of the deceased parent’s birth certificate.

It is highly recommended to have your Child Travel Consent notarized. U.S. Customs and Border Protection recommends that any child under the age of 16 traveling without both legal guardians should have a notarized Child Travel Consent signed by both legal guardians. Having your Child Travel Consent notarized decreases the chance of travel authorities questioning its validity.

Furthermore, the country you travel to and the airline you use will have varying signing requirements. Some countries, such as the United Kingdom, will not allow one parent and a child to cross the UK border until they provide proof of their relationship to each other.

You can check your destination's entry and exiting requirements at The Bureau of Consular Affairs website. In addition, you can contact the U.S. Embassy in your child’s destination country to determine what documentation your child will require.

Passport

No matter their age, everyone requires a passport to travel outside the United States. It's your child's primary form of identification while out of the country and provides official proof of U.S. citizenship.

If you need a passport for urgent travel or an emergency, you might qualify to receive the passport sooner than the typical four to six weeks.

However, there are different requirements for applying for a passport depending on your child’s age.

Children under 16

For children under 16 years old, applying for a passport requires two parents or guardians to apply in person using Form DS-11. You'll need to provide your child's Social Security Number (SSN) or a formal statement declaring they don't have an SSN.

You’ll need to show proof of your child’s citizenship when applying for the passport. You can do this by supplying a/an:

  • Certificate of Citizenship
  • Consular Report of Birth Abroad
  • Expired passport
  • U.S. birth certificate

Minors aged 16 and 17

Minors aged 16 or 17 need to apply for a passport in person using Form DS-11 or renew their current passport with Form DS-82. A passport book for a minor aged 16 or 17 costs $165 and will be valid for ten years.

As the parent, you don't need to be present when your child applies for a passport. However, you need to provide proof that you consent to it. If you aren't present when they apply, you can provide evidence of your consent through a signed note accompanied by a copy of your I.D. or by paying for the passport via a cheque or bank order with your name on it.

Passport Card

A passport card is different from the passport book used for air travel. A passport card allows you or your child to enter the U.S. at land border crossings and sea ports of entry from Canada, Mexico, the Caribbean, and Bermuda. As an adult, you can also use it as an ID when flying within the U.S.

If your child doesn't have a passport book or card, you must apply for a passport card in person using Form DS-11. If you already have a passport book or card, you may apply for or renew your passport card by mail using Form DS-82.

Similar to passport books, passport cards are valid for five years for children under 16 and for 10 years for minors age 16 or 17. A passport card costs $50 for children under 16 and $65 for minors aged 16 and 17.

Flying with children under two years old

Because children under two years old can fly within the U.S. for free, an airline company might require you to show proof of your child's age when you're checking in. A birth certificate or other state-issued ID is acceptable for traveling within the United States.

If you're flying with a baby less than two weeks old, you might need a note from your doctor saying the baby is healthy enough to fly. It's a good idea to call the airline ahead of time to confirm whether this is necessary.

Similarly, some airlines, such as United Airlines, require a doctor’s note if you’re an expecting mother over 36 weeks pregnant.

Quick Tips for Parents Traveling with Children 

  • Always check with your travel agent, airline company, or government official during the planning stage of your trip to find out if there are any specific documents you require
  • Arrive at the airport three hours early when traveling internationally to allow for adequate time to check-in
  • Make sure your child always has your personal information on them, as well as copies of their Child Travel Consent forms, travel itinerary, and passport at all times
  • More valuable documents like passports should stay with a parent or guardian
  • Read over all documents ahead of time to ensure information is complete and accurate
  • You should keep all your documents in a safe, accessible place where they won’t be easily damaged or stolen

Planning ahead can take away a lot of stress when traveling for a parent. By ensuring you have the proper documents, you'll spend less time worrying and more time enjoying your vacation with your kids.

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Additionally, the consent document must be signed and dated by the patient (or the patient's legal guardian or representative). Many consent forms also require a healthcare provider signature. Consent forms should include statements to be signed by the patient and the healthcare provider.

At what age can you make your own medical decisions in Singapore?

In Singapore, the age a person is legally considered an adult is 21. However, Singapore has no statute law that defines the legal age to give consent for medical procedures. Wherever feasible and reasonable, parents or guardians of minors should be directly involved in giving consent.