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MYERS PARK BAPTIST CHURCH Youth Ministry MEDICAL CONSENT FORM 201617 Child Information: Name Date of Birth / / Address City State Zip Code Home Telephone # () Parent/Guardian Information: Name Work
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How to fill out medical consent form 2016-17
How to fill out medical consent form 2016-17
01
Start by obtaining the medical consent form for 2016-17 from the relevant healthcare provider or organization.
02
Read the form carefully to understand all the sections and information required.
03
Fill out the personal details section of the form, including your full name, address, date of birth, and contact information.
04
Provide details about your medical history, including any known allergies, pre-existing conditions, and current medications.
05
If the medical consent form is for a minor, fill out the parent or guardian section with their contact information and relationship to the patient.
06
Review the consent section carefully and indicate your agreement or disagreement with specific medical procedures or treatments.
07
If necessary, consult with a healthcare professional to clarify any doubts or questions about the form.
08
Sign and date the form to acknowledge your consent and understanding of its contents.
09
Make copies of the completed form for your own records and submit the original to the healthcare provider or organization.
10
Remember to keep a copy of the form handy for future reference if needed.
Who needs medical consent form 2016-17?
01
Individuals who are undergoing medical procedures or treatments may need to fill out a medical consent form 2016-17.
02
Minors or individuals who lack the legal capacity to give consent on their own may require a parent or guardian to fill out the form on their behalf.
03
Healthcare providers and organizations may also require patients to fill out a medical consent form before providing certain services or treatments.
04
The medical consent form helps protect both the patient and the healthcare provider by ensuring that the patient understands and consents to the medical procedures or treatments.
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