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Facts concerning the child s medical history including allergies medications being taken and any physical impairments to which the physician should be alerted Wears contacts/glasses circle one Signature of Parent/Guardian Date Part II Refusal to Consent I do NOT give my consent for emergency medical treatment of my child. This authorization does not cover major surgery unless the medical opinions of two 2 other licensed physicians or dentists concurring in the necessity for such surgery are...
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How to fill out athletic emergency medical authorization
How to fill out athletic emergency medical authorization
01
Gather all necessary information such as the athlete's personal details, emergency contact information, and medical history.
02
Obtain a copy of the athletic emergency medical authorization form, either from the school or organization.
03
Read the form carefully and understand the information required in each section.
04
Fill out the athlete's personal details accurately, including their full name, date of birth, address, and contact number.
05
Provide emergency contact information, ensuring the contact person's name, phone number, and relationship to the athlete are clearly specified.
06
Indicate any known medical conditions or allergies the athlete may have. If there are none, state 'N/A' or 'None' accordingly.
07
Ensure to sign and date the authorization form appropriately.
08
Review the completed form for any errors or missing information before submitting it.
Who needs athletic emergency medical authorization?
01
Anyone participating in athletic activities, such as athletes, coaches, trainers, and even volunteers, may require an athletic emergency medical authorization.
02
It is especially important for minors who engage in sports or physical activities to have a completed medical authorization form on file.
03
Schools, sporting organizations, and event organizers often require participants to have an emergency medical authorization in order to ensure the safety and well-being of all individuals involved.
04
Even adults who engage in recreational or competitive sports may be asked to provide a medical authorization form as part of the registration process.
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What is athletic emergency medical authorization?
Athletic emergency medical authorization is a form that grants permission for medical treatment in case of an emergency during athletic events.
Who is required to file athletic emergency medical authorization?
Athletes participating in athletic events are required to file athletic emergency medical authorization.
How to fill out athletic emergency medical authorization?
Athletic emergency medical authorization can be filled out by providing personal and medical information, emergency contact details, and any relevant medical history.
What is the purpose of athletic emergency medical authorization?
The purpose of athletic emergency medical authorization is to ensure that athletes receive prompt and appropriate medical treatment in case of an emergency.
What information must be reported on athletic emergency medical authorization?
Information such as athlete's name, date of birth, medical conditions, allergies, emergency contacts, insurance information, and consent for treatment must be reported on athletic emergency medical authorization.
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