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GA First Presbyterian Church Adult Medical Release Form 2010-2025 free printable template

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ADULT MEDICAL RELEASE FORM First Presbyterian Church 189 Church Street Marietta, Georgia 30064 I authorize Keith Günter, MattMcConnelle or other adult leadership they appoint, to seek medical care
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How to fill out GA First Presbyterian Church Adult Medical

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How to fill out GA First Presbyterian Church Adult Medical Release

01
Obtain the GA First Presbyterian Church Adult Medical Release form from the church's website or front office.
02
Fill in the participant's full name at the top of the form.
03
Provide the date of birth of the participant.
04
Include the participant's address, including city, state, and zip code.
05
Specify any known allergies or medical conditions.
06
List any medications the participant is currently taking.
07
Include the name and contact information of the participant's primary physician.
08
Provide emergency contact information, including names and phone numbers.
09
Sign and date the form to confirm the accuracy of the information provided.
10
Submit the completed form to the church office before the deadline.

Who needs GA First Presbyterian Church Adult Medical Release?

01
Any adult participating in events or activities organized by GA First Presbyterian Church who may require medical care or attention.
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The GA First Presbyterian Church Adult Medical Release is a legal document that grants permission for medical treatment to be provided to adults participating in activities or events organized by the church.
Adults participating in church events or programs that may involve physical activities or potential health risks are required to file the GA First Presbyterian Church Adult Medical Release.
To fill out the GA First Presbyterian Church Adult Medical Release, individuals must provide personal information such as name, address, contact information, emergency contacts, and any pertinent medical history or allergies.
The purpose of the GA First Presbyterian Church Adult Medical Release is to ensure that medical treatment can be administered promptly and legally if necessary during church-sponsored events, while also protecting the church from liability.
The information that must be reported includes the participant's full name, date of birth, medical history, current medications, allergies, emergency contact information, and signature of the participant indicating consent.
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