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PARENT/GUARDIAN CONSENT AND PLAYER MEDICAL RELEASE FORM Players Name: Date of Birth: Gender: Address: City: State: Zip: EMERGENCY INFORMATION Fathers Name: Home Phone: Work Phone: Mothers Name: Home
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What is emergency medical authorization form?
Emergency medical authorization form is a legal document that allows designated individuals to make medical decisions on behalf of someone unable to do so in case of an emergency.
Who is required to file emergency medical authorization form?
Parents or legal guardians of minors, individuals with specific medical conditions, or anyone who wants to designate an emergency contact for medical decisions.
How to fill out emergency medical authorization form?
You can fill out the form by providing personal information, emergency contact details, medical history, allergies, current medications, and any specific instructions for emergency medical treatment.
What is the purpose of emergency medical authorization form?
The purpose of the form is to ensure that medical providers have authorization to provide necessary medical treatment in case of an emergency when the individual is unable to communicate their own wishes.
What information must be reported on emergency medical authorization form?
Personal information, emergency contact details, medical history, allergies, current medications, and specific medical instructions must be reported on the form.
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