Parties
Full legal names and relationship to the child for both the parent/guardian and the caregiver, ensuring identity matches IDs.
A signed agreement clarifies responsibilities, documents consent for medical and educational needs, and helps third parties verify caregiving authority while minimizing misunderstandings between family members.
Use this agreement to document authority, manage expectations, and provide supporting evidence to service providers while the caregiving arrangement is in effect.
A parent or guardian signs to delegate caregiving, authorize medical or school decisions, and set compensation or expense terms while retaining parental rights. The signature documents consent and protects the guardian if the arrangement is later reviewed by schools, healthcare providers, or agencies.
The family member who will provide care signs to accept responsibilities, acknowledge limitations of authority, and record what powers (if any) they have for medical or educational decisions. Signing creates clear expectations and reduces later disputes.
Full legal names and relationship to the child for both the parent/guardian and the caregiver, ensuring identity matches IDs.
Child's full legal name, date of birth, and any identifying information needed by schools or medical providers.
Effective date and end date or renewal terms that state when caregiving authority begins and ends.
Explicit description of what the caregiver can and cannot do: medical decisions, school enrollment, travel, etc.
Payment, reimbursement, or expense arrangements, including schedule and limits for out-of-pocket costs.
Emergency contacts, medical insurance information, and instructions for medical treatment or hospitalization.
| Field | Configuration |
|---|---|
| Signature Field | Required for parent and caregiver; date tied to signature. |
| Conditional Medical Consent | Reveal only if caregiver is authorized for medical decisions. |
| Authentication | Use email + SMS code or stronger identity proof for sensitive authority. |
| Template Name | Name templates clearly by child and dates for version control. |
Keep signed copies in secure storage and deliver certified copies to providers who request proof of signature or caregiver authority.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial, no credit card | Varies by plan | Varies by plan | Varies by plan | Varies by plan |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A parent traveling for work signs a short-term agreement authorizing a maternal aunt to pick up the child from school and consent to basic medical care.
A guardian undergoing medical treatment arranges a relative to provide four-week in-home care and school enrollment.
Date when caregiving authority begins
Agreed termination date or event
Dates for caregiver compensation
Required days' notice to end agreement
Date to reassess or renew terms