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KINETIC KIDS Medical Release Form Atlantoaxial Instability Screening and Recommendations Name: DOB: The above named person is interested in participating in one or more programs with Kinetic Kids
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How to fill out aa instability release form

How to fill out an AA instability release form:
01
Start by obtaining a copy of the AA instability release form either from your local AA office or their website.
02
Write your personal information in the designated fields, such as your full name, address, phone number, and email address.
03
Provide the reason for completing the instability release form. This may include a description of a specific event, an explanation of your current situation, or any other relevant details.
04
Indicate the date when you first became aware of the instability and the date when you noticed it in the AA program.
05
Describe the actions you have taken to address and manage the instability, such as attending additional meetings, seeking sponsorship, or engaging in other recovery activities.
06
If you have been working with a sponsor or a mentor, include their name, contact information, and any additional comments they may have regarding your progress.
07
Sign and date the instability release form to validate the accuracy of the information provided and acknowledge your understanding of the consequences of falsifying any details.
08
Keep a copy of the completed form for your records before submitting it to the relevant AA authority, whether in person or electronically.
Who needs an AA instability release form:
01
Individuals who have experienced instability within the Alcoholics Anonymous (AA) program may need to fill out an AA instability release form.
02
This form is typically required for those who have encountered challenges in their sobriety, such as relapse, ongoing struggles with alcohol addiction, or inability to maintain their recovery.
03
It is an important tool for individuals to openly and honestly communicate their experiences and seek additional support within the AA community.
04
The AA instability release form acts as a confidential document that allows members to share their concerns and request assistance without fear of judgment or consequences.
05
By completing this form, individuals can provide the necessary information for AA leaders and support personnel to better understand their situation and offer suitable resources and guidance.
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