This has just provided to me: >From patambyah@xxxxxxxxx Thu May 26 08:51:20 2016 Date: Thu, 26 May 2016 23:51:18 +0800 From: Paul Ananth Tambyah <patambyah@xxxxxxxxx> To: Laina Greene <laina@xxxxxxxxx> Subject: Re: need a letter from a doctor Hi Ms Greene Thanks for your email. Would an email reply suffice? Can you let your friends know that I am a senior consultant Infectious Diseases Physician at the National University Hospital who has held a Singapore medical license continuously since 1988-89. The Singapore Code of Medical Ethics is very clear that doctors are not permitted to refuse treatment to anyone - see http://www.healthprofessionals.gov.sg/content/hprof/smc/en/topnav/guidelines/ethical_code_and_ethical_guidelines.html Consent issues are governed by the laws of Singapore. For children, "The legal right to give consent for children lies with persons of legal parental responsibility" - see https://www.sma.org.sg/UploadedImg/files/Publications%20-%20SMA%20News/4508/CMEP.pdf If a child has been legally adopted by an individual or a couple of any gender and there is legal evidence to support the guardianship of the adult over the child, there should be no issue with the legal guardian (or guardians). Singapore is however taking action on human trafficking and if the authorities suspect that the child was a victim of trafficking, then they are entitled to take whatever action they think necessary to protect the child. It is best to ensure that all the paperwork documenting legal guardianship of children is cast iron in order to avoid any misunderstandings. I hope that helps Paul Ananth Tambyah Professor of Medicine Senior Consultant ID Physician