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CADA/CALL Summer Leadership Camp Medical Release & Policies Form2019SCU: MYTHS 6/2427 UCSB: HS17/710 HS27/1215 HS37/1720 HS47/2326 MS7/2325 Each student and advisor must bring TWO copies of this form

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How to fill out medical release amp policies

01

Obtain a medical release form from the appropriate source, such as the healthcare provider or hospital.

02

Read the form carefully and make sure you understand the information being requested.

03

Fill in your personal details accurately, including your name, address, and contact information.

04

Provide information about your healthcare provider, such as their name, address, and contact details.

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Specify the purpose of the medical release, whether it is for a specific treatment, consultation, or ongoing medical care.

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Review any specific policies or restrictions mentioned in the release form, and comply with them accordingly.

07

Sign and date the form to indicate your consent for releasing your medical information.

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Make copies of the completed form for your records and keep them in a safe place.

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Submit the filled-out form to the relevant party, such as your healthcare provider or hospital.

Who needs medical release amp policies?

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Anyone who requires medical treatment, consultation, or ongoing care may need medical release and policies.

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This can include patients, their legal guardians, or authorized individuals responsible for making healthcare decisions.

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