Quick question for American Law/Medical professionals

[sbr]

My 15 year old daughter is going to Arizona to stay with a friend of hers for a month this summer.  I want to write up a letter that acts as a permission slip/waiver to allow her friend's mom and older sister to authorize medical care/treatment in case anything happens while she is down there.  Obviously if anything major happened and my daughter needed major medical attention I would be in Arizona ASAP to deal with it, but I would like them to be able to deal with anything minor that might come up.

I ripped this part from a school field trip form:

I, the parent/guardian of the above named minor, grant permission to ____(mom/sister's name)______ to authorize necessary medical services in an emergeny, including injections, anesthesia, surgery and medication, if I cannot be contacted at the telephone numbers shown below; and I agree to be responsible for any expenses not covered by personal insurance that may be incurred as a result of an accident or medical emergency involved the above named minor.

Does that seem appropriate for what I am looking for?

One thing this doesn't cover the medical privacy (HIPAA) part.  I will want to allow mom/sister access to my daughter's medical conditions while in their care so I will need something to address that.  Anyone have any advice or guidance in writing up a waiver for that purpose? 

Should I make a separate letter for the mom and sister or would one with both names work?

Should I worry about specifying dates or make it open-ended?

Thanks in advance for any helpful answers.

[The Brain]

My advice is talk to your lawyer/doctor.

[Martinus]

My advice is talk to your lawyer/doctor.

Ask an expert and not a bunch of antisocial strangers on an anonymous internet board? What are you, a Languish-hating communist?

[Eddie Teach]

Well, he also has to consider if the answer is worth the fee.

[Scipio]

My 15 year old daughter is going to Arizona to stay with a friend of hers for a month this summer.  I want to write up a letter that acts as a permission slip/waiver to allow her friend's mom and older sister to authorize medical care/treatment in case anything happens while she is down there.  Obviously if anything major happened and my daughter needed major medical attention I would be in Arizona ASAP to deal with it, but I would like them to be able to deal with anything minor that might come up.

I ripped this part from a school field trip form:

I, the parent/guardian of the above named minor, grant permission to ____(mom/sister's name)______ to authorize necessary medical services in an emergeny, including injections, anesthesia, surgery and medication, if I cannot be contacted at the telephone numbers shown below; and I agree to be responsible for any expenses not covered by personal insurance that may be incurred as a result of an accident or medical emergency involved the above named minor.

Does that seem appropriate for what I am looking for?

One thing this doesn't cover the medical privacy (HIPAA) part.  I will want to allow mom/sister access to my daughter's medical conditions while in their care so I will need something to address that.  Anyone have any advice or guidance in writing up a waiver for that purpose? 

Should I make a separate letter for the mom and sister or would one with both names work?

Should I worry about specifying dates or make it open-ended?

Thanks in advance for any helpful answers.

http://www.azag.gov/life_care/index.html#Materials

[Neil]

Arizona?  Don't let her go.  They have gun wielding maniacs and wild Mexicans.

[CountDeMoney]

You plan on being out of the country on safari for a month, sbr?  In our day and age, there's no reason why you can't be contacted within 20 minutes of something.

[merithyn]

I usually use this form when my kids travel without me: Link

I take out the bit about religious education, etc., and amend things as I prefer them, but the template works well enough, I think. The lawyers may say otherwise. To date, it's not been put to the test.