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I think about the same time he proposed... Technically, in the strictest sense he probably shouldn't have this kind of deciding power, it would generally devolve to a selected councilor, but this kind of bending of the rules is more-or-less alright for decisions not directly regarding treatment. If they were married, then he'd have a clear direct claim (so long as he wasn't responsible for or contributing to the issue), but I'm guessing the fact that she had a preexisting romantic relationship and, while in a clearly sane moment in front of a witness, agreed to his proposal, put him 'close enough' for the doctor.
The hospital doesnt but they could apply for them for example she would have a birth certificate which would give the names of her biological parents they would also need her medical records and could apply to access things like foster/adoption certificates/paperwork if it was deemed in her interest to do so.
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