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ADULTPERMISSION/MEDICAL RELEASE Forewent: Appalachian Mission Private(s): April 1318, 2019Location: Shack Neighborhood Housemate of Adult Participant: Section below is to be completed by Group Leader
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The adult-permissionmedical release form is a document that authorizes medical care for an individual who is not able to give consent themselves, typically a minor.
Parents or legal guardians are required to file the adult-permissionmedical release form on behalf of the minor.
The form must be filled out with the minor's information, the parent or guardian's contact details, medical insurance information, and any specific instructions for medical care.
The purpose of the form is to ensure that medical providers have permission to administer care to a minor in case of an emergency when the parent or guardian is not present.
The form must include the minor's name, date of birth, medical history, any known allergies, current medications, insurance information, and emergency contact details.
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