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BOWEN AFTER SCHOOL CARE PROGRAM, INC. 280 CYPRESS STREET, NEWTON, MA 02459 6179693130 MEDICATION CONSENT FORM 606 CMR 7.11(2)(b) Name of child: Name of medication: Please check one of the following:
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How to fill out med consent form 2015-2016
How to fill out med consent form 2015-2016:
01
Start by reading the form carefully to understand its purpose and requirements.
02
Enter your personal information accurately, including your full name, date of birth, and contact details.
03
Provide information about your medical history, including any pre-existing conditions, allergies, or medications you currently take.
04
If applicable, specify any emergency contacts who should be notified in case of a medical situation.
05
Review and sign the consent form, indicating that you understand its contents and agree to the terms.
06
If required, have a parent or guardian also sign the form if you are under the age of 18.
07
Keep a copy of the completed form for your records and submit the original to the relevant healthcare provider or institution.
Who needs med consent form 2015-2016:
01
Individuals seeking medical treatment or services from a healthcare provider or institution.
02
Minors who require parental consent for medical procedures or treatments.
03
Individuals participating in medical research studies or clinical trials.
04
Students or athletes participating in school or sports-related activities that may involve potential medical risks.
05
Patients undergoing elective surgeries or procedures that require informed consent.
Note: The specific requirements for the med consent form may vary depending on the healthcare provider, institution, or jurisdiction. It is always advisable to consult with the relevant party to ensure compliance with their specific guidelines.
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