Medical Treatment Or Medicine Authorization Letter
Dear [Doctor's Name],
I, [Your Name], would like to authorize [Name of Authorized Person] to obtain medical treatment and/or medication on my behalf. Due to unforeseen circumstances, I am unable to personally attend to this matter at this time.
I give my full consent for [Name of Authorized Person] to discuss my medical condition and treatment options with you and to make decisions regarding my care as necessary. I also authorize the release of any medical information necessary for the proper care and treatment of my condition.
Please provide [Name of Authorized Person] with any necessary instructions and medication, and bill all charges to me.
Thank you for your attention to this matter.