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Norco College Permission to Treat a MinorEmergency Information free printable template

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CCD Student Health & Psychological Services Nor co College 2001 Third Street, Nor co, CA 92860 Phone (951) 3727046 Fax (951) 3727184Permission to treat a minor/Emergency Information ___ grant permission
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How to fill out Norco College Permission to Treat a Minor/Emergency Information

01
Obtain the Norco College Permission to Treat a Minor/Emergency Information form from the college website or administration office.
02
Fill out the child's personal information, including full name, date of birth, and address.
03
Provide the names and contact information for the parents or guardians.
04
Indicate any known allergies, medical conditions, or medications the child is taking.
05
Sign and date the form in the designated areas.
06
Submit the completed form to the appropriate college office before the child's participation in events.

Who needs Norco College Permission to Treat a Minor/Emergency Information?

01
Any minor student enrolled in Norco College who participates in college-sponsored activities or events.
02
Parents or guardians of minor students who wish to provide emergency medical consent.
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Norco College Permission to Treat a Minor/Emergency Information is a form that grants medical staff the authority to provide treatment to minors in emergencies when parental consent cannot be obtained.
Parents or legal guardians of minors participating in Norco College activities are required to file the Permission to Treat a Minor/Emergency Information form.
To fill out the form, provide the minor's personal information, contact details for parents or guardians, and any necessary medical information, then sign and date the document.
The purpose of the form is to ensure that minors can receive timely medical treatment in case of an emergency while participating in college activities.
The form must report the minor's full name, date of birth, contact information for parents or guardians, medical history, allergies, and emergency contacts.
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