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Still Meadows Enrichment Center and Camp 11992 Dollar School Road Linville, VA 22834 (540) 8332072 campstillmeadows aol.com www.campstillmeadows.org EMERGENCY MEDICAL RELEASE Please bring this with
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How to fill out emergency medical release:

01
Start by obtaining the emergency medical release form. These forms can typically be found online on healthcare or school websites, or you might be able to request them from your child's school or doctor's office.
02
Begin by providing your personal information. This typically includes your name, address, phone number, and emergency contact information. Make sure to write legibly and provide accurate details.
03
Fill in your child's information. Include their full name, date of birth, and any relevant medical conditions or allergies. It's important to provide any necessary details that would assist medical personnel in providing appropriate care in an emergency situation.
04
Next, list any current medications your child is taking. Include the medication name, dosage, and frequency. If your child is not taking any medications, simply write "none" or "N/A" in this section.
05
Provide important medical history information. This may include any chronic conditions, previous surgeries, or relevant medical procedures your child has undergone. Again, be thorough and accurate in your responses.
06
Consider adding information about your child's primary care physician or any specialists they may be seeing. Include the doctor's name, contact information, and any pertinent details that would help medical personnel in contacting them if needed.
07
Indicate your consent for emergency medical treatment. This is typically done by signing and dating the form. Read through the form carefully to understand the terms and conditions before signing.
08
Finally, make sure to keep a copy of the completed emergency medical release form for your own records.

Who needs emergency medical release?

01
Parents or legal guardians of minors.
02
Adults who have specific medical conditions or allergies that may require immediate medical attention.
03
Individuals participating in organized activities or programs, such as sports teams, summer camps, and school field trips, where having emergency medical information and consent is crucial for the safety and well-being of the participants.
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Emergency medical release is a document that gives permission to medical professionals to provide emergency medical treatment in case of an unforeseen health emergency.
Parents or legal guardians are typically required to file emergency medical release forms for minors. Adults can also fill out these forms for themselves.
To fill out an emergency medical release, you need to provide personal information, emergency contact details, information about allergies or medical conditions, and consent for medical treatment.
The purpose of an emergency medical release is to ensure that medical professionals can provide prompt and appropriate care in case of a health emergency, even if the patient is unable to provide consent.
Information such as the patient's name, date of birth, emergency contact information, known allergies, medical history, and consent for treatment must be reported on an emergency medical release.
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2012 www campstillmeadows indemnifies campstillmeadowsaol Linville undersigneds Hollar waives undersigned Enrichment DOB arising thereto entities relinquish Waiver fullest org wrongful timely relating conjunction waive releases Meadows

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