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Horizon Science Academy Toledo 2600 W. Sylvia Avenue Toledo, OH 43613 EMERGENCY ATHLETIC MEDICAL AUTHORIZATION Students Name: Date of Birth: Address: Phone: City: Zip: Fathers Name: Place of Employment:
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How to fill out emergency athletic medical authorization

How to fill out emergency athletic medical authorization
01
First, obtain the emergency athletic medical authorization form from the respective sporting organization or school.
02
Read and understand the instructions and information provided on the form.
03
Fill out your personal details, such as your full name, date of birth, address, contact number, and emergency contact information.
04
Ensure to mention any pre-existing medical conditions or allergies that you have, if applicable.
05
Include details of your primary healthcare provider or family doctor.
06
If you are currently taking any prescribed medications, mention them on the form.
07
Indicate any specific instructions or guidelines regarding your medical treatment or emergency response.
08
Sign and date the form.
09
Submit the completed form to the relevant authority or organization responsible for maintaining medical records for athletes.
Who needs emergency athletic medical authorization?
01
Any individual participating in athletic activities, such as school sports teams, recreational leagues, or organized competitions may require an emergency athletic medical authorization.
02
This includes athletes of all ages, from children to adults.
03
Parents or guardians of underage athletes may also need to complete the authorization on behalf of their child.
04
The specific policies may vary depending on the organization, so it is important to refer to the governing body or relevant authorities to determine who exactly needs the emergency athletic medical authorization.
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What is emergency athletic medical authorization?
Emergency athletic medical authorization is a form that grants permission for medical treatment in case of a sports-related injury or emergency.
Who is required to file emergency athletic medical authorization?
Athletes participating in organized sports activities are required to file emergency athletic medical authorization.
How to fill out emergency athletic medical authorization?
To fill out emergency athletic medical authorization, athletes must provide personal information, medical history, emergency contact information, and insurance details.
What is the purpose of emergency athletic medical authorization?
The purpose of emergency athletic medical authorization is to ensure that athletes receive prompt and appropriate medical treatment in case of an emergency during sports activities.
What information must be reported on emergency athletic medical authorization?
Emergency athletic medical authorization must include athlete's name, date of birth, medical history, emergency contact information, insurance details, and consent for medical treatment.
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