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EMERGENCY MEDIAL TREATMENT ROOM Coaches should have the parents of each player complete Section I of this form prior to the beginning of scheduled practices. Coaches should maintain these forms for
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How to fill out emergency medical treatment form:

01
Begin by writing your personal information, including your full name, date of birth, address, and contact information. This will help healthcare providers identify you accurately.
02
Provide your emergency contact details, such as the name, relationship, and contact number of a person who can be contacted in case of an emergency.
03
Indicate any known allergies or medical conditions that you have. This information is crucial for healthcare professionals to determine the appropriate treatment for you.
04
Mention any medications you are currently taking, including the dosage and frequency. This is necessary for healthcare providers to understand any potential drug interactions or adjustments needed.
05
Describe the details of the emergency or injury that requires medical treatment. Include relevant information such as the date, time, location, and a brief summary of what happened.
06
Note any symptoms or physical complaints you are experiencing. This will help healthcare providers assess your condition accurately and provide appropriate care.
07
Sign and date the form to confirm that the information provided is true and accurate to the best of your knowledge.

Who needs emergency medical treatment form:

01
Individuals who have experienced or witnessed an emergency situation requiring medical attention should fill out an emergency medical treatment form.
02
It is particularly crucial for individuals with known allergies, medical conditions, or those taking regular medications.
03
Parents or legal guardians should also complete this form for their children to ensure appropriate medical care can be provided in case of an emergency.
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Emergency Medical Treatment and Release Form.
Any individual seeking emergency medical treatment.
Fill out the form with personal and medical information, sign and date it.
To authorize medical treatment in case of emergencies and release the medical facility from liability.
Personal information, emergency contact, medical history, allergies, current medications.
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