OH Olentangy Local Schools Emergency Medical Authorization Form 2011-2025 free printable template

OLENTANGY LOCAL SCHOOLS EMERGENCY MEDICAL AUTHORIZATION PLEASE PRINT STUDENT S FIRST NAME MIDDLE INITIAL LAST NAME HOME PHONE NUMBER GRADE ADDRESS CITY ZIP The purpose of this form is to enable parents and guardians to authorize the provision of emergency treatment for children who become ill or injured while under school authority when parents or guardians cannot be reached. EMERGENCY CONTACTS HOME PHONE CELL PHONE WORK PHONE RESIDENTIAL PARENT OR GUARDIAN FIRST AND LAST NAME OTHER PARENT...

How to fill out OH Olentangy Local Schools Emergency Medical

How to fill out OH Olentangy Local Schools Emergency Medical Authorization

1. Obtain the Emergency Medical Authorization form from the OH Olentangy Local Schools website or the school office.
2. Fill in the student's full name and date of birth.
3. Provide the names and contact information for at least two emergency contacts.
4. Indicate the student's primary care physician's name and phone number.
5. List any known allergies or medical conditions the student has.
6. Include any necessary medical instructions or specific medications the student requires.
7. Sign and date the form, ensuring all information is accurate and complete.
8. Submit the completed form to the school office by the specified deadline.

Who needs OH Olentangy Local Schools Emergency Medical Authorization?

1. All students enrolled in OH Olentangy Local Schools need the Emergency Medical Authorization form.
2. Parents or guardians of students are responsible for completing and submitting the form.
3. Any student participating in school activities, sports, or field trips requires this authorization.

People Also Ask about

What are 5 signs that a person is experiencing a medical emergency?

Warning Signs that Indicate a Medical Emergency Difficulty breathing, shortness of breath. Chest or upper abdominal pain or pressure. Fainting, sudden dizziness, weakness. Changes in vision. Confusion or changes in mental status. Any sudden or severe pain. Uncontrolled bleeding.

What is the most urgent medical emergency?

Expert Emergency Care Difficulty breathing. Unconsciousness. Severe bleeding. Poisoning. Chest pain or pressure. Severe allergic reactions. Moderate to severe burns or wounds. Convulsions or seizures.

What are 5 life threatening emergencies?

You need to go to an emergency room or call 911 when you have: Chest pain. Trouble breathing. Severe bleeding or severe head injuries. Loss of consciousness or “black-out” Sudden loss of vision or blurred vision. Fever of 100.4 (rectal reading) in an infant less than 3 months old (Source Mayo Clinic)

What are 4 immediate life threatening conditions?

Defined: Life Threatening Emergencies Respiratory distress or cessation of breathing. Severe chest pains. Shock. Uncontrolled bleeding. Choking. Poisoning. Prolonged unconsciousness. Overdose.

What are the 7 most common medical emergencies?

7 Most Common Medical Emergencies Bleeding. Breathing difficulties. Someone collapses. Fit and/or epileptic seizure. Severe pain. Heart attack. A stroke.

What information should be on an emergency contact form?

The emergency contact form should request that the employee provide the name, home phone number, cell phone number, and email address of at least two people to contact in the event of an emergency.

What qualifies as a medical emergency?

An illness, injury, symptom or condition so serious that a reasonable person would seek care right away to avoid severe harm.

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What is OH Olentangy Local Schools Emergency Medical Authorization?

OH Olentangy Local Schools Emergency Medical Authorization is a form that allows parents or guardians to grant permission for medical treatment for their children in case of an emergency when they are unable to be reached.

Who is required to file OH Olentangy Local Schools Emergency Medical Authorization?

All parents or guardians of students enrolled in the Olentangy Local Schools are required to file the Emergency Medical Authorization form to ensure that medical care can be provided in emergencies.

How to fill out OH Olentangy Local Schools Emergency Medical Authorization?

To fill out the OH Olentangy Local Schools Emergency Medical Authorization, parents or guardians need to provide detailed information about the student, including their medical history, emergency contacts, and consent for treatment.

What is the purpose of OH Olentangy Local Schools Emergency Medical Authorization?

The purpose of the Emergency Medical Authorization is to ensure that children receive prompt medical attention in emergencies, facilitating timely intervention by medical professionals without delay.

What information must be reported on OH Olentangy Local Schools Emergency Medical Authorization?

The information required includes the student's name, date of birth, medical history, known allergies, emergency contact names and phone numbers, and parental consent for medical treatment.