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Authorization for Treatment of a Minor - NYU

Authorization for Treatment of a Minor - NYU 2026

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The document is an authorization form for the treatment of minors participating in non-degree programs at NYU. It requires students under 18 to provide personal information, emergency contacts, current medications, health insurance details, and immunization proof. Parents or guardians must consent to medical treatment for their child during the program, ensuring that necessary care can be administered by the Student Health Center.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the STUDENT INFORMATION section. Enter the student's full name, date of birth, and NYU ID number. Specify the name of the NYU program and indicate if the student will be living on campus.
In the EMERGENCY CONTACTS section, provide details for two emergency contacts, including their names, relationship to the student, and multiple phone numbers.
List any CURRENT MEDICATIONS that the student is taking. Include both prescribed and over-the-counter medications along with health conditions and dosage information if applicable.
Document any MEDICAL ALLERGIES that may affect treatment options.
Complete the HEALTH INSURANCE section by indicating whether the student is an international student or has their own insurance. Provide necessary insurance details.
If applicable, submit proof of IMMUNIZATIONS required for credit-bearing programs.
Finally, review and sign the AUTHORIZATION FOR TREATMENT OF A MINOR section. Ensure all information is accurate before submitting.

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How do I remove a minor from NYU?

If you no longer wish to pursue your minor, you must officially request to have it removed from your academic record prior to the completion of 110 credits. To drop your minor, send an email to minors.gallatin@nyu.edu; the email should include your name, your N number, and the name of the minor.

Is it good to declare a minor?

Declaring a minor can give you a diverse range of skills, knowledge, and experiences that will be quite useful should you ever decide to change your professional goals and pursue a new career.

What is the consent policy at NYU?

Consent must be freely sought and given for each instance of sexual activity. NYUs Sexual Misconduct, Relationship Violence, and Stalking Policy also describes various factors taken into consideration when evaluating whether consent was given, and offers additional guidance regarding incapacitation.

How do I change my student information at NYU?

Please complete the Change of Student Information form and bring original copies of documentation to your visit. Students may also email form and supporting documentation to registrar@nyu.edu (if applicable). Any email submission sent from a non-NYU email address must be notarized.

How to declare a minor at NYU?

Declaring a Minor: Apply for a minor in Albert using the link in the My Academics section of the Student Center. When you submit an application, it will be reviewed by both your home school and the minor school (for cross-school minors). Use above Albert link if you wish to undeclare you minor.

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