Get the free UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION
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This document collects emergency contact and insurance information for student athletes at UC Irvine, and outlines the requirements and conditions related to health insurance coverage during participation
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How to fill out UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION
01
Obtain a copy of the UC Irvine Sports Medicine Athlete/Parent Emergency Contact & Insurance Information form.
02
Fill in the athlete's full name at the top of the form.
03
Provide the athlete's date of birth and student ID number.
04
Complete the parent or guardian's information, including their name, relationship to the athlete, and contact number.
05
List an alternate emergency contact in case the parent or guardian cannot be reached.
06
Fill out the insurance information section, including the insurance provider's name, policy number, and group number.
07
Sign and date the form to confirm that the information is accurate.
08
Submit the completed form to the designated sports medicine office or email it to the specified contact.
Who needs UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
01
All athletes participating in UC Irvine sports programs.
02
Parents or guardians of the athletes must provide this information.
03
Coaches and sports medicine staff need the details for emergency situations.
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What is UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
The UC Irvine Sports Medicine Athlete/Parent Emergency Contact & Insurance Information is a form designed to collect essential emergency contact and insurance details for student-athletes. It ensures that proper medical assistance can be provided in case of an emergency.
Who is required to file UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
All student-athletes participating in UC Irvine sports programs are required to file the UC Irvine Sports Medicine Athlete/Parent Emergency Contact & Insurance Information form prior to their involvement in any athletic activities.
How to fill out UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
To fill out the form, student-athletes should provide accurate personal information, including their contact details, as well as emergency contact information and insurance policy details. It is important to ensure that all sections are completed clearly and accurately.
What is the purpose of UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
The purpose of this form is to ensure that medical personnel can quickly access vital contact and insurance information during a medical emergency, thereby facilitating prompt and appropriate care for the athlete.
What information must be reported on UC IRVINE SPORTS MEDICINE ATHLETE/ PARENT EMERGENCY CONTACT & INSURANCE INFORMATION?
The information that must be reported includes the athlete's name, contact information, emergency contact names and phone numbers, as well as insurance provider details and policy numbers. It may also include specific medical conditions or allergies.
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