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20192020 Emergency Health and Consent Form Metropolis of Pittsburgh Y2AM Shorter Events including GOYA Athletics This completed 2page form stays with the Parish GOYA (Advisors or Coaches) as they

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How to fill out 2019-2020 emergency health and

01

To fill out the 2019-2020 emergency health form, follow these steps:

02

Start by obtaining the necessary form from the relevant healthcare provider or download it from their website.

03

Read the instructions provided on the form carefully to understand the information required.

04

Fill out your personal information accurately, including your full name, date of birth, address, and contact details.

05

Provide any relevant medical history or conditions that are essential for emergency health purposes.

06

Answer the questionnaire or checklist provided regarding your current health status or any specific symptoms or concerns.

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Review the completed form to ensure all information is accurate and up-to-date.

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Sign and date the form as required, acknowledging the information provided is true and correct.

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Submit the form to the designated healthcare provider or follow the specific instructions for submission.

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Keep a copy of the filled-out form for your records.

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If necessary, consult with a healthcare professional or the authorized personnel if you need further guidance or have any questions about filling out the form.

Who needs 2019-2020 emergency health and?

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The 2019-2020 emergency health form is required for individuals who may need emergency medical assistance during the specified period.

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This includes but is not limited to:

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- Students attending educational institutions

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- Employees in organizations

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- Residents of certain communities or living facilities

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- Individuals participating in specific events or activities

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The form aims to provide necessary health information in case of emergencies, enabling healthcare providers to deliver appropriate and timely care.

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