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ARCHDIOCESE OF CINCINNATI
PERMISSION, RELEASE AND MEDICAL POWER OF ATTORNEY
(the child), give permission for my child to
1.
I, the lawful parent or guardian of
participate in the activity described
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01
Start by gathering all necessary personal information, such as full name, date of birth, address, and contact details.
02
Provide relevant medical information, including any known allergies, current medications, and previous medical conditions or surgeries.
03
Indicate emergency contact information, including the names, phone numbers, and relationships of individuals who should be notified in case of an emergency.
04
Include details about your primary healthcare provider, their contact information, and any health insurance information if applicable.
05
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Who needs an emergency medical form for:
01
Individuals with known medical conditions or allergies that may require immediate attention or specific medical treatments.
02
People who regularly take medications or have a history of surgeries or medical procedures.
03
Those who engage in high-risk activities or occupations, such as athletes, first responders, or military personnel.
04
Parents or guardians of children with medical conditions or special healthcare needs.
05
Individuals who frequently travel or participate in activities with a higher risk of accidents or medical emergencies.
Remember, having an updated and properly filled emergency medical form can provide crucial information to medical professionals and first responders in an emergency situation, ensuring appropriate and timely care.
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What is emergency medical form for?
The emergency medical form is used to provide important medical information in case of an emergency.
Who is required to file emergency medical form for?
Anyone who wants to ensure their medical information is easily accessible in case of an emergency should file an emergency medical form.
How to fill out emergency medical form for?
The emergency medical form can be filled out by providing your personal and medical information, including allergies, medications, and emergency contacts.
What is the purpose of emergency medical form for?
The purpose of the emergency medical form is to ensure that important medical information is available to first responders in case of an emergency.
What information must be reported on emergency medical form for?
Information such as medical conditions, medications, allergies, emergency contacts, and insurance information should be reported on the emergency medical form.
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