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Child's Emergency Medical Authorization Medical and Insurance Information: Your children participation in the 2011 Kent Gardens PTA Summer Camp requires this form to be completed IN FULL for all students
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How to fill out childs emergency medical authorization
How to fill out child's emergency medical authorization:
01
Begin by gathering all necessary information, including the child's full name, date of birth, and allergies or medical conditions. It is important to be thorough and accurate in providing this information.
02
Next, provide the contact information of the child's primary caregiver or guardian. This should include their full name, phone number, and address. It is crucial to ensure that this information is up to date and easily accessible in case of an emergency.
03
Indicate the child's primary healthcare provider and their contact information. This should include the doctor's name, phone number, and address. This will enable emergency medical personnel to quickly get in touch with the child's healthcare provider, if necessary.
04
Include a list of authorized individuals who can make medical decisions on behalf of the child in case the primary caregiver or guardian cannot be reached. This should include the full name and contact information of each authorized person. Make sure to inform and receive consent from these individuals before including them on the authorization form.
05
Specify any medical treatments or procedures that the child should receive or avoid. This may include medications, vaccinations, or specific instructions for emergency medical personnel. It is important to provide clear and concise information to ensure the child's safety and well-being.
06
Sign and date the form, and ensure that the primary caregiver or guardian does the same. This confirms that the information provided is accurate and that they give their consent for the child to receive necessary medical care in case of an emergency.
Who needs child's emergency medical authorization?
01
Parents or legal guardians of a child who may require emergency medical treatment.
02
Childcare centers, schools, or sports organizations that are responsible for the well-being of the child during their care.
03
Family members or friends who plan to take care of the child for an extended period of time or during special occasions.
04
Individuals who travel with a child who is not their legal ward, such as grandparents or close family friends.
It is important for any individual or organization responsible for a child to have a child's emergency medical authorization. This allows them to make necessary medical decisions quickly and efficiently, ensuring the child's health and safety in times of emergency.
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