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EMERGENCY CONTACT/PARENTAL CONSENT FORM. 55 PA CODE CHAPTERS 3270.124(a)(b), 3270181 & 182; 3280124 (a)(b), 3280.181 8 182; 3290124 ...
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What is emergency contact/parental consent form?
Emergency contact/parental consent form is a document that includes contact information for a designated emergency contact and provides consent for emergency medical treatment for a minor.
Who is required to file emergency contact/parental consent form?
Parents or legal guardians of minors are required to file the emergency contact/parental consent form.
How to fill out emergency contact/parental consent form?
The form typically requires the parent or guardian to provide their contact information, emergency contact information, and sign to provide consent for emergency medical treatment.
What is the purpose of emergency contact/parental consent form?
The purpose of the form is to ensure that there is a designated emergency contact available and to provide consent for emergency medical treatment in case of an emergency involving a minor.
What information must be reported on emergency contact/parental consent form?
The form typically requires the parent or guardian to provide their name, address, phone number, emergency contact name and phone number, and sign to provide consent for emergency medical treatment.
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