Consent of Child/Juvenile to Medical Services
Wisconsin · Wisconsin Court System · Effective September 8, 2022
This form is used to ask the court for permission to give medical treatment to a child or juvenile, and it requires the child or juvenile's agreement. It asks the person filling it out to consent to specific medical services, including surgery if it becomes necessary.
The court describes it as: To request court authorization, with child/juvenile's consent, for medical treatment.
Where this fits in a case
MotionsStage: Motions
This form is used when medical treatment for a child or juvenile requires court permission and the child or juvenile is giving their consent.
Either party may file.
Official instructions
How-to guides published by the court for this form.
Common questions
- What is this form for?
- This form is used to ask the court for permission to give medical treatment to a child or juvenile, and it requires the child or juvenile's agreement.
- Who fills out this form?
- The form includes spaces for the child/juvenile's signature and contact information for the Guardian ad Litem/Adversary Counsel.
Revision history
No changes recorded since we started tracking this form on October 10, 2026. The current version took effect September 8, 2022.
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