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MAX SCHLITZ FOUNDATION SCREENS FOR TEENS CARDIAC SCREENING RESPONSE FORM AND WAIVER PLEASE RETURN TO SCHOOL ANTIOCH COMMUNITY HIGH SCHOOL 10/16/2013 Student Name: Sex: Height: Weight: Date of Birth:
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How to fill out Max Schewitz Foundation screens:

01
Start by carefully reading the instructions provided with the screens. Make sure you understand the purpose of the screens and what information you need to provide.
02
Gather all the necessary documents and information that may be required to fill out the screens. This may include personal information, medical history, contact details, etc.
03
Begin filling out the screens by entering your personal information accurately. This may include your full name, date of birth, address, phone number, and email address.
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Move on to providing details about your medical history. This may involve answering questions related to any existing medical conditions, allergies, medications, and surgeries you may have had.
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If the screens require you to provide emergency contact information, make sure to enter the names, phone numbers, and relationships of individuals who should be contacted in the event of an emergency.
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Once you are satisfied with the information provided, submit the completed screens as per the instructions given. This could involve mailing the physical copies or submitting them electronically, depending on the method specified.
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Keep a copy of the completed screens for your own records.

Who needs Max Schewitz Foundation screens:

01
Individuals planning to participate in activities or programs organized by the Max Schewitz Foundation may be required to fill out the screens. This could include participants of cardiac screening events or other health-related initiatives.
02
Individuals who want to ensure their medical information is readily available in case of an emergency may choose to fill out the Max Schewitz Foundation screens.
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Parents or legal guardians may need to complete the screens on behalf of their children or dependents, especially if they are participating in Max Schewitz Foundation programs or events.
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The max schewitz foundation screens are screenings conducted to detect heart conditions in young individuals.
Schools, sports organizations, and other youth groups may be required to file max schewitz foundation screens.
Max schewitz foundation screens can be filled out by providing personal and medical information of individuals undergoing the screening.
The purpose of max schewitz foundation screens is to identify and prevent sudden cardiac events in young individuals.
Personal information, medical history, and screening results must be reported on max schewitz foundation screens.
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