Delaware Relative Caregivers' Medical Authorization Affidavit

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The Delaware Relative Caregivers' Medical Authorization Affidavit is required for a relative caregiver who is raising a child without legal custody or guardianship to approve medical care for that child.

The affidavit is available here for you to download. Instructions are included with the affidavit.

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The Delaware Relative Caregivers' Medical Authorization Affidavit is available here in PDF format. In order to view the affidavit, you need to have the Adobe Acrobat Reader software on your computer.

If you need a copy of the Adobe Acrobat Reader software, you can download it free from the Adobe web site. Click here to get the Adobe Acrobat Reader.

Once you have the Adobe Acrobat Reader on your computer, it will open automatically when you download the affidavit. The Acrobat Reader will allow you to adjust the size of the image if you need the words to be larger on your computer screen. With the Acrobat Reader, you can also print the affidavit on your printer.

Click here to download a copy of the
Delaware Relative Caregivers' Medical Authorization Affidavit

English Version - Spanish Version

If you are using a specialized computer, such as a text reader, you can download a text-only version of this affidavit in English and a text-only version of this affidavit in Spanish. Please visit the Access Adobe site for more information about text-only publications.

Need more help? Please contact the Delaware Aging and Disability Resource Center (ADRC).

You can also pick up a copy of the medical affidavit at various locations around the state. Click here for a list of medical affidavit pick-up locations.

Delaware Relative Caregivers' Medical Authorization Affidavit

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