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STUDENT HEALTH×EMERGENCY TREATMENT AUTHORIZATION Office of Study Abroad 109 International Center East Lansing, MI 488241035 Congratulations on your acceptance into an MSU sponsored study abroad program.
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How to fill out student health-emergency treatment authorization

How to fill out student health-emergency treatment authorization:
01
Begin by obtaining the form. You can usually find it at your student's school or college, or you may be able to download it from their website.
02
Fill in the student's personal information, such as their full name, date of birth, and student ID number.
03
Provide the contact information for the student's primary guardian or parent, including their name, phone number, and address.
04
Indicate any known allergies or medical conditions that the student has. This is crucial information for healthcare providers in case of an emergency.
05
Include relevant insurance information, such as the name of the insurance company, policy number, and any specific instructions or restrictions related to the coverage.
06
If the student requires medication to be administered at school, specify the medication, dosage, and administration instructions. Make sure to attach any necessary prescriptions or medical documents.
07
Read through the authorization statement carefully and sign it to grant consent for the student to receive emergency medical treatment if required.
08
Finally, submit the completed form to the appropriate school personnel or office.
Who needs student health-emergency treatment authorization?
01
All students should have a completed student health-emergency treatment authorization form on file, regardless of whether or not they have any known medical conditions or allergies.
02
This form is especially important for students with specific medical needs or conditions, as it allows healthcare providers to administer necessary treatment in case of an emergency.
03
Students participating in school-sponsored activities, such as field trips or sports events, may be required to present a valid student health-emergency treatment authorization form as a safety precaution.
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What is student health-emergency treatment authorization?
Student health-emergency treatment authorization is a form that grants permission for emergency medical treatment for a student in case of illness or injury.
Who is required to file student health-emergency treatment authorization?
Parents or legal guardians of the student are required to file student health-emergency treatment authorization.
How to fill out student health-emergency treatment authorization?
The form can be filled out by providing the student's personal information, emergency contacts, medical information, and signing to authorize emergency treatment.
What is the purpose of student health-emergency treatment authorization?
The purpose of student health-emergency treatment authorization is to ensure that the school has permission to provide emergency medical treatment to the student if needed.
What information must be reported on student health-emergency treatment authorization?
The form should include the student's name, date of birth, allergies, medical conditions, current medications, emergency contacts, and any other relevant medical information.
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