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This form is used to authorize medical treatment for adults participating in the California 4-H Youth Development Program in case of emergency.
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How to fill out California 4-H Youth Development Program ADULT MEDICAL TREATMENT FORM

01
Obtain the California 4-H Youth Development Program Adult Medical Treatment Form from the official website or program office.
02
Fill in personal information, including the participant's full name, address, and contact information.
03
Provide emergency contact details, including names and phone numbers of 1-2 individuals.
04
Complete the medical history section, detailing any allergies, medications, or medical conditions.
05
Sign and date the form to consent to medical treatment in case of an emergency.
06
Submit the completed form to the program coordinator or designated individual prior to participation.

Who needs California 4-H Youth Development Program ADULT MEDICAL TREATMENT FORM?

01
All adult participants in the California 4-H Youth Development Program.
02
Volunteers and staff involved in 4-H activities must have this form on file.
03
Individuals who may require medical attention or treatment during program events.
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The California 4-H Youth Development Program ADULT MEDICAL TREATMENT FORM is a document used to collect important medical information about adults participating in 4-H activities, ensuring proper care in case of a medical emergency.
Adults who are participating as volunteers or leaders in the California 4-H Youth Development Program are required to file the ADULT MEDICAL TREATMENT FORM.
To fill out the form, provide personal information such as name, contact details, and medical history, including allergies, medications, and emergency contacts. Ensure that all sections are completed accurately and legibly.
The purpose of the form is to ensure that all medical information is readily available in case of an emergency, allowing for appropriate medical treatment and care for adults involved in the program.
The information that must be reported includes the participant's full name, contact information, medical history, current medications, allergies, and emergency contact details.
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