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2016 ONE Field Hockey Summer Clinic 202 Borden Building, Amherst MA 01003 Tag admin.mass.edu Office #: (413) 5451942 WAIVER AND RELEASE STATEMENT: The undersigned being a parent or legal guardian
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How to fill out 2016 summer clinic med:

01
Obtain the 2016 summer clinic med form from the clinic or download it online.
02
Fill out the personal information section, including your full name, date of birth, contact information, and any relevant medical history.
03
Provide insurance information, including the name of the insurance company, policy number, and any other required details.
04
Indicate the dates and times of the clinic you will be attending during the summer.
05
Answer any specific medical questions that are asked on the form, such as allergies, current medications, and pre-existing conditions.
06
Sign and date the form to confirm that all the information provided is accurate and complete.
07
Submit the filled out form to the appropriate clinic or healthcare provider before the specified deadline.

Who needs 2016 summer clinic med:

01
Students and individuals attending a summer clinic or program that requires medical information for their participation.
02
Parents or guardians of minors who will be attending a summer clinic and need to provide medical information on behalf of their child.
03
Healthcare professionals or clinic administrators who are responsible for collecting and organizing medical information for summer clinic attendees.
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The summer clinic med form is a form that collects medical information for participants of summer clinics or programs.
All participants of summer clinics or programs are required to file the summer clinic med form.
Participants can fill out the summer clinic med form by providing accurate and detailed medical information as requested on the form.
The purpose of the summer clinic med form is to ensure that organizers of summer clinics have necessary medical information to provide appropriate care and support to participants.
Participants must report information such as their medical history, current medications, allergies, emergency contacts, and any existing conditions on the summer clinic med form.
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