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This document serves as a registration and consent form for participants of the USM Softball Camp, including a physician's statement of physical fitness and a parent's acknowledgment of the risks

How to fill out physicians statement and parents

How to fill out Physician’s Statement and Parent’s Statement

1. Obtain the Physician’s Statement and Parent’s Statement forms from the required source.
2. Carefully read all instructions provided on the forms.
3. For the Physician’s Statement, fill in the patient's personal information such as name, date of birth, and contact information.
4. Provide the physician's details, including their name, contact information, and medical license number.
5. Answer all medical history questions thoroughly and accurately.
6. Have the physician sign and date the statement, certifying the information provided.
7. For the Parent’s Statement, fill in the child's details such as name and date of birth.
8. Answer questions regarding the child's medical history and current health status.
9. The parent or guardian must sign and date the statement to confirm the accuracy of the provided information.
10. Submit both forms as directed by the receiving institution or organization.

Who needs Physician’s Statement and Parent’s Statement?

1. Students applying for educational, health, or support programs requiring medical evaluation.
2. Participants in sports or physical activities that mandate health assessments.
3. Children needing special accommodations due to medical conditions.

People Also Ask about

What is an example of an attending physician?

Attending physicians may also still be in training, such as a fellow in a subspecialty. For example, a cardiology fellow may function as an internal medicine attending, as they have already finished residency in internal medicine. The term is used more commonly in teaching hospitals.

What is an attending physician's statement would be appropriate for?

An attending physician's statement would be appropriate for the purpose of assisting in the underwriting decision at the request of the insurer. Underwriting is the process by which an insurer decides whether to take on a proposed risk and, if so, on what terms.

What is a statement from a doctor?

Medical statement means a written document, on appropriate letterhead, which reflects a full diagnosis of the illness or injury and a prognosis, including anticipated date of recovery executed by a licensed health care practitioner qualified to make such a diagnosis and prognosis.

What is the meaning of attending physician?

Listen to pronunciation. (uh-TEN-ding fih-ZIH-shun) A medical doctor who is responsible for the overall care of a patient in a hospital or clinic setting. An attending physician may also supervise and teach medical students, interns, and residents involved in the patient's care.

What is the meaning of an attending physician?

Listen to pronunciation. (uh-TEN-ding fih-ZIH-shun) A medical doctor who is responsible for the overall care of a patient in a hospital or clinic setting. An attending physician may also supervise and teach medical students, interns, and residents involved in the patient's care.

What is the attending physician's statement?

An attending physician statement (APS) is a report by a physician, hospital, or medical facility that has treated, or is currently treating, a person seeking insurance. In traditional underwriting, an APS is one of the most frequently ordered additional sources of medical background information.

For pdfFiller’s FAQs

What is Physician’s Statement and Parent’s Statement?

A Physician’s Statement is a document completed by a licensed medical professional that provides information about a patient's health condition, diagnosis, and any limitations or accommodations required. A Parent’s Statement is a document completed by a parent or guardian that provides information about a child’s needs, background, and relevant circumstances.

Who is required to file Physician’s Statement and Parent’s Statement?

Typically, a Physician’s Statement is required by schools, sports organizations, or employers when a person's health condition may affect their participation. A Parent’s Statement is usually required from a parent or guardian when enrolling a child in programs or activities that require knowledge of the child's health or educational needs.

How to fill out Physician’s Statement and Parent’s Statement?

To fill out a Physician’s Statement, the physician should provide their contact information, diagnosis, treatment plans, and any recommended accommodations. The Parent’s Statement should include the child's personal information, family background, specific needs, and any relevant medical information. Both statements should be completed thoroughly, signed, and dated.

What is the purpose of Physician’s Statement and Parent’s Statement?

The purpose of a Physician’s Statement is to ensure that relevant parties (like schools or sports teams) are aware of a person’s health status and can provide necessary support or accommodations. The Parent’s Statement aims to give context regarding a child's needs, helping organizations to understand and support the child effectively.

What information must be reported on Physician’s Statement and Parent’s Statement?

The Physician’s Statement must report the patient's medical diagnosis, any physical limitations or accommodations needed, and the physician's contact information. The Parent’s Statement must include the child's name, age, special needs, medical history, family background, and any other specific concerns or requirements.