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EVERGREEN MIDDLE SCHOOL EMERGENCY MEDICAL AUTHORIZATION FORM Student Name Grade Address Home Telephone No. Purpose: To enable parents and guardians to authorize the provision of emergency treatment
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Start by accessing the Evergreen Middle School emergency form.
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Begin filling out the form by providing your personal information, such as your name, contact details, and relationship to the student.
03
Proceed to fill in the necessary details about the student, including their full name, grade, and any specific medical conditions or allergies they may have.
04
Indicate the emergency contact information, such as the name, phone number, and relationship of the person to be contacted in case of an emergency.
05
Fill out any additional information required by the form, such as the student's primary care physician or preferred hospital in case of emergency.
06
Review the completed form to ensure all information provided is accurate and up-to-date.
07
Sign and date the form, if required.
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Submit the filled-out form as instructed by the Evergreen Middle School.

Who needs Evergreen Middle School emergency?

01
Parents or legal guardians of students enrolled at Evergreen Middle School.
02
Students themselves, if they are of legal age or have been granted permission to fill out the form independently.
03
Any individuals responsible for the student's care, such as grandparents or other family members, if authorized by the parents or legal guardians.
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Evergreen Middle School emergency refers to the procedures and protocols put in place to address any urgent situations that may arise at the school.
The school administration, staff, and emergency response team are required to file Evergreen Middle School emergency plans.
Evergreen Middle School emergency plans can be filled out by detailing emergency procedures, contact information, evacuation routes, and communication protocols.
The purpose of Evergreen Middle School emergency plans is to ensure the safety and well-being of students, staff, and visitors in case of emergencies.
Information that must be reported on Evergreen Middle School emergency plans includes emergency contacts, evacuation protocols, communication strategies, and emergency supplies.
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