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SHELBYVILLE CENTRAL SCHOOLS EMERGENCY MEDICAL AUTHORIZATION PERMIT HEALTH HISTORY 201516 TO BE COMPLETED BY PARENT/GUARDIAN FOR ALL CHILDREN ENTERING SHELBYVILLE CENTRAL SCHOOLS. PLEASE COMPLETE AND

How to fill out 2015-16 emergency medical authorization

Who needs 2015-16 emergency medical authorization?

1. Parents or legal guardians of minors: Any parent or legal guardian of a minor child will need to fill out the 2015-16 emergency medical authorization form. This form gives consent for emergency medical treatment to be provided to the child in case of an emergency when the parent or guardian is not available.
2. School administrators: Schools or educational institutions may also require parents to fill out the 2015-16 emergency medical authorization form for their child. This is important for the school to have the necessary information and consent to provide medical care to the student if needed during school hours or any school-related events.
3. Coaches or team leaders: If your child participates in sports or other extracurricular activities outside of school, coaches or team leaders may require the 2015-16 emergency medical authorization form. This ensures that they have the necessary information and permission to seek medical treatment for your child if an injury or medical emergency occurs while participating in the activity.

How to fill out 2015-16 emergency medical authorization:

1. Personal information section: Start by providing your child's full name, date of birth, and contact information, including a phone number where you can be reached in case of an emergency.
2. Emergency contact information: Provide the name, relationship, and contact information for at least two emergency contacts who can be reached when you are unavailable. It is important to choose individuals who are readily available and can make quick decisions on behalf of your child.
3. Authorized medical treatment: Indicate any known allergies, medical conditions, or medications that your child may have. This information is crucial for medical professionals to provide appropriate treatment and avoid any potential allergic reactions or drug interactions.
4. Consent for medical treatment: Read and understand the consent section carefully. By signing the form, you are providing permission for authorized individuals, such as school staff or healthcare professionals, to seek medical treatment for your child in case of an emergency. If there are any specific limitations or instructions, make sure to clearly communicate them in the designated space.
5. Signature and date: Sign and date the form in the appropriate section, indicating that you have read and understood the information provided and are authorized to make decisions on behalf of your child.

Remember to update the 2015-16 emergency medical authorization form each year or whenever there are changes to your child's medical information or emergency contacts. It is crucial to keep this document up to date to ensure your child's safety and well-being in case of any unforeseen emergencies.

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What is 16 emergency medical authorization?

16 emergency medical authorization is a form that grants permission for emergency medical treatment in situations where consent cannot be obtained from the individual.

Who is required to file 16 emergency medical authorization?

Parents or legal guardians are typically required to file 16 emergency medical authorization for minors, while individuals over the age of 18 can file it for themselves.

How to fill out 16 emergency medical authorization?

To fill out 16 emergency medical authorization, you will need to provide basic personal information, emergency contact information, medical history, and indicate any specific medical treatments or procedures that you consent to in case of an emergency.

What is the purpose of 16 emergency medical authorization?

The purpose of 16 emergency medical authorization is to ensure that individuals receive prompt and appropriate medical treatment in case of an emergency, even if they are unable to provide consent at that time.

What information must be reported on 16 emergency medical authorization?

Information such as full name, date of birth, emergency contact information, known allergies, current medications, and treatment preferences must be reported on 16 emergency medical authorization.