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20162017USA Hockey Consent To Treat/Medical History Form This is to certify that on this date, I, as parent or guardian of, (athlete participant), or for myself as an adult participant, give my consent

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How to fill out USA Hockey Consent to Treat/Medical History Form

1. Obtain the USA Hockey Consent to Treat/Medical History Form from the USA Hockey website or your local hockey association.
2. Read the instructions provided at the top of the form carefully.
3. Fill out the player's personal information, including their name, date of birth, and contact information.
4. Complete the emergency contact information section with reliable contacts.
5. Provide detailed medical history including any allergies, medical conditions, medications, and prior injuries.
6. Sign and date the form where indicated, acknowledging the consent for treatment and the accuracy of the information provided.
7. Submit the completed form to your coach or team manager as directed.

Who needs USA Hockey Consent to Treat/Medical History Form?

1. All players participating in USA Hockey events or programs are required to have a completed USA Hockey Consent to Treat/Medical History Form.
2. Coaches, team managers, and volunteers may also need the form for any players they supervise.

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What is USA Hockey Consent to Treat/Medical History Form?

The USA Hockey Consent to Treat/Medical History Form is a document that provides permission for medical treatment in the event of an injury during hockey activities, while also collecting a participant's medical history to ensure safe participation.

Who is required to file USA Hockey Consent to Treat/Medical History Form?

All participants, including players and their guardians, are required to file the USA Hockey Consent to Treat/Medical History Form before the start of the hockey season.

How to fill out USA Hockey Consent to Treat/Medical History Form?

To fill out the USA Hockey Consent to Treat/Medical History Form, participants need to provide personal information, medical history details, and sign the form to consent to the treatment and acknowledge the information provided.

What is the purpose of USA Hockey Consent to Treat/Medical History Form?

The purpose of the USA Hockey Consent to Treat/Medical History Form is to ensure that medical professionals have the necessary information to treat players effectively in case of an emergency and to understand any pre-existing medical conditions that could affect participation.

What information must be reported on USA Hockey Consent to Treat/Medical History Form?

The USA Hockey Consent to Treat/Medical History Form must report personal details such as the participant's name, date of birth, emergency contact information, and medical history including allergies, existing conditions, medications, and previous injuries.