Child Care Power Of Attorney Form - Hamilton County Juvenile Court (Page 7 of 10) in pdf

Child Care Power Of Attorney Form - Hamilton County Juvenile Court Page 7

To health care providers:

1. A person or entity that acts in good faith reliance on a power of attorney to provide medical, psychological,

or dental treatment, without actual knowledge of facts contrary to those stated in the power of attorney, is not

subject to criminal liability or to civil liability to any person or entity, and is not subject to professional

disciplinary action, solely for such reliance if the power of attorney is completed and the signatures of the

parent, guardian, or custodian of the child and the grandparent designated as attorney in fact are notarized.

2. The decision of a grandparent designated as attorney in fact, based on a power of attorney, shall be honored

by a health care facility or practitioner, school district, or school official.

Page 5 of 5

Form 1349

Child Care Power Of Attorney Form - Hamilton County Juvenile Court Page 7