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Emergency Contact Information and Authorization for Emergency Medical/Surgical Treatment Page 1 of 2Academic Year: I give permission for the school to provide, in an emergency, any medical assistance
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How to fill out and authorization for emergency
01
To fill out an authorization for emergency, follow these steps:
02
Obtain the authorization form from the relevant authority or organization.
03
Read the form carefully and make sure you understand all the instructions and requirements.
04
Provide your personal information such as full name, address, contact details, and identification number.
05
Specify the person whom you are authorizing to act on your behalf in case of an emergency. Provide their full name, contact details, and relationship to you.
06
Include any specific instructions or limitations regarding the authorized person's actions during an emergency.
07
Sign and date the authorization form.
08
Submit the completed form to the authorized entity or individual.
09
Keep a copy of the authorization form for your records.
Who needs and authorization for emergency?
01
Anyone who wishes to grant someone else the authority to act on their behalf during an emergency may need an authorization for emergency. This can include individuals who anticipate being unable to make decisions or take actions for themselves during an emergency situation, such as due to illness, injury, or absence. Moreover, organizations or institutions may also require authorization for emergency to ensure appropriate actions are taken on behalf of their members or clients in critical situations.
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