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Get the free Iowa 4-H Medical Information/Release Form - extension iastate

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This document serves as a medical information and release form for non 4-H club youth participants, collecting essential medical and emergency contact information, permissions for treatment and image
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How to fill out iowa 4-h medical informationrelease

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How to fill out Iowa 4-H Medical Information/Release Form

01
Obtain the Iowa 4-H Medical Information/Release Form from your local 4-H office or website.
02
Read the instructions carefully before starting to fill out the form.
03
In the personal information section, provide the participant's full name, address, and contact information.
04
Fill out the emergency contact details, including the name and phone number of a responsible adult.
05
Complete the medical history section, including allergies, medications, and any relevant medical conditions.
06
Sign and date the form at the designated signature line.
07
Have a parent or guardian review and sign the form if the participant is a minor.
08
Submit the completed form to your local 4-H office or designated program leader.

Who needs Iowa 4-H Medical Information/Release Form?

01
All participants in Iowa 4-H activities and programs, including members and volunteers, need to fill out the Iowa 4-H Medical Information/Release Form.
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The Iowa 4-H Medical Information/Release Form is a document used to collect and document health-related information for participants in 4-H events, ensuring the safety and well-being of those involved.
All 4-H members participating in events, activities, or programs organized by Iowa 4-H are required to file the Iowa 4-H Medical Information/Release Form.
To fill out the Iowa 4-H Medical Information/Release Form, individuals must provide personal information, emergency contact details, medical history, and any allergies or special medical needs, and then sign the release agreement.
The purpose of the Iowa 4-H Medical Information/Release Form is to ensure that organizers have necessary health information on hand in case of an emergency and to obtain permission for medical treatment if necessary.
The information that must be reported on the Iowa 4-H Medical Information/Release Form includes personal identification details, emergency contacts, medical history, allergies, medication requirements, and consent for treatment.
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