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Saint Catherine's CIO BASKETBALL EMERGENCY NOTIFICATION & MEDICAL RELEASE Player: DOB: In the event of an accident or injury resulting in a medical emergency, please notify PRIMARY CONTACT Name: Relation:

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01

Begin by writing your full name, address, and contact information at the top of the form.

02

Provide your emergency contact information, including the name, relationship, and contact number of someone who should be notified in case of a medical emergency.

03

Fill in your insurance information, including the policy number, insurance company name, and any additional details requested.

04

Indicate any known allergies or medical conditions that you have. If none, write "none" or "N/A" in the designated space.

05

Sign and date the form at the bottom to certify that all the information provided is accurate.

Who needs cyo - medical release1?

01

Individuals participating in any CYO (Catholic Youth Organization) activities or events may be required to complete and submit a CYO - medical release1 form. This would typically include youth members, volunteers, coaches, and other participants involved in CYO programs.

02

Parents or legal guardians are often required to complete this form on behalf of their children who are participating in CYO activities.

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CYO program administrators and organizers may also need to keep the CYO - medical release1 forms on record for emergency purposes and to ensure the safety and well-being of all participants.

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What is cyo - medical release1?

Cyo - medical release1 is a form used to authorize the release of medical information.

Who is required to file cyo - medical release1?

Parents or legal guardians are usually required to file cyo - medical release1 for minors.

How to fill out cyo - medical release1?

Cyo - medical release1 can be filled out by providing personal information, medical history, and signing consent for release of information.

What is the purpose of cyo - medical release1?

The purpose of cyo - medical release1 is to allow healthcare providers to share medical information as needed for treatment.

What information must be reported on cyo - medical release1?

Cyo - medical release1 typically requires information about the patient's name, date of birth, medical conditions, and healthcare providers.

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