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This form serves as an informed consent and release for parents registering their children in the Saint Louis University Kid's Connection Occupational Therapy Program, outlining policies, risks, and
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How to fill out slu kids connection occupational
How to fill out SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form
01
Begin by reading the entire form carefully to understand its purpose.
02
Fill in the child's full name at the top of the form.
03
Provide the date of birth of the child.
04
Enter the parent's or guardian's full name and contact information.
05
Review the description of the occupational therapy program and its goals.
06
Check the appropriate boxes to indicate consent for treatment and related activities.
07
Sign and date the form where indicated, confirming your understanding and consent.
08
If necessary, provide any additional information requested, such as medical history or specific therapy needs.
09
Keep a copy of the completed form for your records.
Who needs SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
01
Parents or guardians of children who are participating in the SLU Kid’s Connection Occupational Therapy Program.
02
Healthcare providers who require consent for therapy services.
03
Administrators of the program for record-keeping and compliance with regulations.
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What is SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
The SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form is a document that parents or guardians must complete to provide consent for their child to participate in occupational therapy services provided by the program.
Who is required to file SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
Parents or legal guardians of children participating in the SLU Kid’s Connection Occupational Therapy Program are required to file the Informed Consent and Release Form.
How to fill out SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
The form should be filled out by providing the child's personal information, details of the guardian, and specific consent regarding the participation in therapy, ensuring that all sections are completed and signed where indicated.
What is the purpose of SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
The purpose of the form is to obtain permission from parents or guardians to allow their child to receive occupational therapy services and to inform them of the risks and benefits associated with the therapy.
What information must be reported on SLU Kid’s Connection Occupational Therapy Program Informed Consent and Release Form?
The information that must be reported includes the child's name, date of birth, the guardian's contact details, emergency contacts, specific health concerns, and consent for treatment and release of information.
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