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PSR 2015 AUTHORIZATION FOR MEDICAL TREATMENT OF A MINOR CHILD I, of (address), Ohio, am the mother/father, of, a minor, who is in the care and custody of St. Mary of the Assumption PSR. In the event

How to fill out emergency authorization 2015

How to fill out emergency authorization 2015:

1. Start by gathering all the necessary information and documents required for the application process.
2. Carefully read through the emergency authorization form to understand all the instructions and requirements.
3. Begin filling out the form by providing your personal information such as your name, address, contact details, and date of birth.
4. Next, provide any relevant medical information, including any pre-existing conditions or allergies that may require special attention during an emergency.
5. Fill out any additional sections that ask for emergency contact information, including the names and phone numbers of individuals who should be contacted in case of an emergency.
6. Follow any specific instructions related to providing information about your insurance coverage or medical history.
7. Take note of any required signatures and dates that need to be included on the form.
8. Double-check all the information you have provided to ensure accuracy and completeness.
9. Once you have completed filling out the form, review it one final time to make sure you haven't missed any sections or made any errors.
10. Submit the completed emergency authorization 2015 form following the instructions provided, whether it be by mail, fax, or electronically.

Who needs emergency authorization 2015:

1. Emergency authorization 2015 is typically required by individuals who may face situations where they are unable to make medical decisions for themselves.
2. This may include individuals with certain medical conditions, disabilities, or those who engage in high-risk activities that increase the likelihood of emergencies.
3. Additionally, parents or legal guardians may need to complete emergency authorization forms for minors who are under their care or supervision.

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