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APPENDIX FORM 9EMERGENCY MEDICAL AUTHORIZATION FORM (child) Please fill out the form below in black or blue ink and return it to the daycare coordinator. Please print. Child's Last Name: First: Date

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What is emergency medical authorization form?

Emergency medical authorization form is a legal document that gives consent to medical treatment in case of emergency situations.

Who is required to file emergency medical authorization form?

Parents or legal guardians of minors are required to file emergency medical authorization form.

How to fill out emergency medical authorization form?

To fill out emergency medical authorization form, you need to provide personal information, emergency contact details, medical history, and sign the form.

What is the purpose of emergency medical authorization form?

The purpose of emergency medical authorization form is to ensure that medical personnel have consent to provide treatment in case of emergencies when the patient is unable to communicate.

What information must be reported on emergency medical authorization form?

Information such as patient's name, date of birth, medical conditions, allergies, emergency contacts, and insurance details must be reported on emergency medical authorization form.

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