$0 Pennsylvania School and Medical Consent Checklist

Relative Raising Child Rights Pennsylvania

Pennsylvania doesn't give relatives an automatic right to make decisions for a child just because they share blood. But it does provide specific legal tools — passed by the legislature for exactly this situation — that let a relative step into a functional caregiving role without going to court first.

What Pennsylvania law gives you without a court order

School enrollment: Section 1302 of the Public School Code (24 P.S. § 13-1302) lets any district resident supporting a child gratis enroll that child in the local public school. You sign a sworn statement — no custody order needed, no parent signature needed.

Medical consent: The Medical Consent Act (11 P.S. § 2513) lets a parent delegate medical, dental, and mental health consent authority to a relative or family friend by signing a written authorization in the presence of two witnesses age 18 or older. The caregiver must also sign and cannot be a witness. This covers routine care, vaccinations, and prescriptions.

Special education: Under IDEA, a relative acting in place of a parent has full authority to participate in IEP decisions, request evaluations, and consent to services.

Act 88 temporary guardianship: A custodial parent entering substance-use treatment or an emergency intervention may designate a temporary guardian, subject to court approval. The initial term may be up to 90 days; extensions may be up to 90 days each, with a 365-day maximum total.

Standby guardianship: Under 23 Pa.C.S. § 5611, a parent can designate you as a standby guardian whose authority activates when a specific triggering event occurs — incapacity, debilitation, or death.

Where informal caregiver authority has limits

  • Sign PennDOT's DL-180TD consent form unless you are a parent, guardian, person in loco parentis, or spouse age 18 or older; if you cannot accompany the applicant, your signature must be notarized
  • Apply for a passport for a child under 16 without the Department of State's required parent or guardian consent documents or court documentation establishing legal authority; a school or medical authorization alone is not enough
  • Add the child to your employer's health insurance plan without meeting that plan's dependent-eligibility rules; ask the plan administrator what documentation it accepts
  • Override a parent who objects to your care of the child
  • Use a parent-signed authorization when both parents are deceased; a relative may need court-appointed guardianship to make decisions requiring legal authority

Standing to file for custody

When informal authority isn't enough, Pennsylvania provides a path to court. Under Act 21 of 2018 (23 Pa.C.S. § 5324), an individual may have standing to seek custody by proving, with clear and convincing evidence, that they have assumed or are willing to assume responsibility, have a sustained, substantial, and sincere interest in the child's welfare, and neither parent has any form of care and control. This route does not apply if a dependency proceeding involving the child has begun or is ongoing, or a permanent legal custody order is in place.

Grandparents and great-grandparents have additional standing under 23 Pa.C.S. § 5325 in specific situations: when the child's parent is deceased and the grandparent is a parent or grandparent of that deceased parent; when the grandparent's relationship with the child began with a parent's consent or court order and the parents have started a custody case but disagree about the grandparent having partial or supervised custody; or when the child lived with the grandparent for at least 12 consecutive months, was removed by the parents, and the grandparent files within six months.

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The practical order of operations

Most relatives start with informal authority and only go to court if something forces the issue. The practical sequence:

  1. Day one: Sign the Section 1302 Sworn Statement and enroll the child in school
  2. Day one or two: If the parent is reachable, have them sign a Medical Consent Act authorization in the presence of two adult witnesses; notarization is optional
  3. First week: Apply for TANF child-only, CHIP/Medical Assistance, and SNAP through COMPASS
  4. First month: Call KinConnector (1-866-546-2111) for navigation to local support groups, legal aid, and respite services
  5. If needed: Consult Pennsylvania Legal Aid about whether a custody or guardianship petition makes sense for your situation

The Pennsylvania School and Medical Consent Guide organizes this sequence into a single reference — the forms, the parent scenarios, the benefit applications, and the escalation steps for when institutions push back.

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