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Medical Treatment Authorization Form School Year 201920Students Name: Grade: I, the undersigned, being the parent or legal guardian, do give my permission for emergency and diagnostic procedures,
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How to fill out emergency medical authorization
How to fill out emergency medical authorization
01
To fill out emergency medical authorization, follow these steps:
02
Start by downloading the emergency medical authorization form.
03
Fill out your personal information, including your name, address, and contact information.
04
Provide the name and contact information of your emergency contact person.
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Include details about your medical history, such as allergies, chronic illnesses, and current medications.
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Indicate any specific medical treatments or procedures that you do or do not want in case of an emergency.
07
Sign and date the form.
08
Make copies of the completed form and keep one copy for yourself.
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Give a copy to your emergency contact person, as well as your primary healthcare provider.
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Keep the form in a safe and easily accessible place, such as your wallet or a medical binder.
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Remember to keep the form up to date and notify your emergency contact or healthcare provider of any changes.
Who needs emergency medical authorization?
01
Emergency medical authorization is beneficial for individuals in various situations, including:
02
- Chronically ill individuals receiving ongoing medical treatment
03
- Elderly individuals who may experience medical emergencies
04
- Individuals with severe allergies or known medical conditions
05
- Athletes participating in high-risk sports or activities
06
- Individuals with rare medical conditions or specific medical needs
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- Individuals traveling alone or in remote areas
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However, it is recommended for all individuals to have emergency medical authorization as unexpected emergencies can happen to anyone.
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