Home
Forms Library
CONSENT FOR NEWBORN TRANSPORTATION AND TREATMENT - virginia

CONSENT FOR NEWBORN TRANSPORTATION AND TREATMENT - virginia 2025

CONSENT FOR NEWBORN TRANSPORTATION AND TREATMENT - virginia Preview on Page 1

See details

4 out of 5

30 votes

The document is a consent form for the transportation and treatment of a minor newborn by the Newborn Emergency Transport System (NETS) to the University of Virginia Children's Hospital. It outlines the recommendation for transfer, parental consent for treatment during transit, and the acknowledgment of risks involved. The form also includes provisions for obtaining maternal medical records and requires signatures from parents or legal guardians.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out CONSENT FOR NEWBORN TRANSPORTATION AND TREATMENT - Virginia

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin with Section I, where you will enter the name of the minor and the referring hospital. Ensure all details are accurate for a smooth transfer process.
In Section II, provide your signature, print your name, and include the date and time. This section confirms your consent for transportation and treatment.
Continue to fill out the witness signature area, ensuring that a witness signs and prints their name along with the date and time.
For Section III, if applicable, have the mother sign and print her name. A witness must also sign this section.
If an interpreter is involved, complete Section IV by providing their details as required.

Start using our platform today to streamline your document editing and signing process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Virginia an informed consent state?

A minor 14 years of age or older may be admitted to a willing mental health facility for inpatient treatment related to mental illness, which may include substance abuse as described in 16.1-336, upon the joint application and consent of the minor and the minors parent.

What is the age of medical consent in Virginia?

Treatment and transport of a minor without the express consent of the parents are allowed when the minor has a life-threatening injury. In these cases, emergency medical services can act under the principle of implied consent due to the necessity of immediate intervention.

Is Virginia informed consent?

Informed consent in Virginia may be given orally or in writing. Typically, doctors give patients consent forms for them to sign.

In which of the following situations would treatment and transport of a minor without parental consent be appropriate?

If the individual is incapable of making an informed decision, as defined in 54.1-2982 of the Code of Virginia, at the time consent is required, written consent must be provided by the individuals legally authorized representative and witnessed.

Is Virginia a consent state?

Virginia is considered a single-party consent jurisdiction. Va. Code 19.2-62. That generally means that as long as a participant in a conversation consents to the communication being recorded, it is not illegal to record the conversation.

What is the VA informed consent policy?

All Veterans have a say in the health care they receive in VA. One of the ways that VA supports Veterans and families in making health care decisions is through a process called informed consent. VA health care providers help Veterans to understand their medical condition. They also recommend treatments or procedures.

What is the Virginia Code for informed consent?

12VAC35-180-100. Informed consent. A. No human research shall be conducted in the absence of informed consent subscribed to in writing by the individual or by the individuals legally authorized representative except as provided for in subsection F of this section.

CONSENT FOR NEWBORN TRANSPORTATION AND TREATMENT - virginia 2025

Here's how it works