Guardian Authorization Template for a Minor Patient
When the patient is under 18, the conversation changes: who decides, who signs and what the professional can or must do now involve the legal guardian, the teenager and the professional board's rules. The guardian's authorization form formalizes part of this, but it is far from the most important part.
This page provides the document. The discussion about age, indication and what is appropriate is in minimum age for facial harmonization. The template is generic, with no technique, dose or product.
When to use this template
Whenever the patient is a minor and the professional, after assessment, considers the procedure indicated and permitted by the rules of their board. The legal guardian must be present at the consultation, receive the same information as the teenager and sign before any application. The authorization is valid only after the clinical assessment, never in place of it.
How to adapt it
- Confirm the professional board's rules first. Check whether your profession allows the procedure in minors and under what conditions.
- Identify the legal guardian (parents, tutor, custodian) and ask for a document proving the relationship. If the parents are separated, decide whether one guardian is enough or whether the clinic requires both.
- Take the medical history with the teenager and the guardian and record the teenager's own concerns, because the young person's own motivation matters.
- Listen to the minor. Record that they understood and agree, and watch for signs of outside pressure or body dissatisfaction. See body dysmorphic disorder in facial harmonization.
- Use the procedure's informed consent form together with this one, signed by the guardian, and not as a substitute.
- Handle images and data with extra care. Photos of minors go into the patient chart only with authorization, and never into marketing. See the image use release and consent and LGPD for photos.
What can never be missing
| Item | Reason |
|---|---|
| Identification of the minor and the guardian | Who the patient is and who decides for them |
| Proof of the relationship | Standing to authorize |
| Procedure and area | What is being authorized |
| Information received and risks | Informed consent |
| The minor's agreement | Respect for their opinion |
| Guardian present at the consultation | Direct information |
| Right to revoke the authorization | Family autonomy |
| Data and images | LGPD protection |
| Signatures and date | Validity of the record |
Guardian authorization template for a minor patient
What if the parents disagree with each other?
Without agreement between the guardians, the most prudent course is not to perform the procedure and to record what was discussed. Seek legal guidance before deciding case by case, especially when there is custody, separation or family conflict. The same applies if the minor shows discomfort, pressure or doubt: nothing in this situation calls for haste. For the basis of consent, see informed consent and protect the data in line with the LGPD.
Frequently asked questions
At what age can someone have facial harmonization?
There is no single answer in terms of age. It depends on the clinical indication, the individual assessment and the rules of the professional's board, and for minors it requires the guardian's authorization. See the page on minimum age for an overview and confirm the rules of your board.
Is parental authorization enough for a minor to have an aesthetic procedure?
Not necessarily. The guardian's authorization is necessary, but it does not replace the professional's assessment, which decides whether the procedure is indicated and safe for that patient, nor the board's rules. The professional may decline even with the authorization.
Does the minor also need to agree to the procedure?
It is good practice to listen to the minor and record that they understand and agree, to the extent of their maturity, in addition to the guardian's authorization. The template on this page provides for recording that agreement.