Authorization Letter for Medical Issues and Caring for Elderly Parent

Use this letter when you are authorizing a person or organization to provide medical care or otherwise attend to medical issues for your elderly parent. Be sure to be as specific as needed-for example, if you are authorizing medications or particular treatments, mention the medication name and dosage or the treatment's specific name. Feel free to customize this letter as much as needed to meet your specific needs.

[Your letterhead, if desired; if not, your return address]

[Date of letter-month, day, and year]

[Recipient's first and last names]
[Company name]
[Street or P.O. box address]
[City, State ZIP code]

Dear [recipient's name]:

Thank you for providing quality care for my mother, Eleanor Atkins, at Sunrise Assisted Living. I hereby authorize you to provide her with insulin treatments for diabetes, on a daily basis and in consultation with Dr. Peter Williams.

Please always contact me before administering any medication or performing any medical treatment. I will authorize medical care as needed.

Thank you for your prompt attention to these important details.



[Sender's first and last names]