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Preston Middle School LacrosseEmergency Medical Authorization PLAYER NAME ADDRESS TELEPHONE SCHOOL GRADE Purpose: To enable parents and guardians to authorize the provision of emergency treatment
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To fill out the Preston Emergency Medical Authorization Document, follow these steps:
02
Begin by opening the document on your preferred device or printing a hard copy.
03
Fill in the date at the top of the form to indicate when the authorization is being filled out.
04
Provide the full name of the person granting the medical authorization.
05
Include the name and contact information of the emergency contact person.
06
Specify any medical conditions, allergies, or medications that the person has.
07
Indicate the name and contact information of the person's primary physician.
08
Provide information about any ongoing medical treatments or therapies.
09
Sign and date the form to validate the authorization.
10
If required, have the form notarized or witnessed by a third party.
11
Keep a copy of the completed form for your records and distribute copies as necessary.

Who needs preston emergency medical authorizationdoc?

01
The Preston Emergency Medical Authorization Document is typically needed by individuals who wish to grant authorization to another person to make medical decisions on their behalf in case of an emergency.
02
This document is commonly used by individuals with specific medical conditions, allergies, or ongoing treatments to ensure their medical preferences are known and respected during a medical emergency.
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Preston emergency medical authorization document is a legal form that grants permission for emergency medical treatment for a minor or an individual unable to give consent.
Parents or legal guardians of minors, as well as caregivers or guardians responsible for individuals who cannot provide consent themselves, are required to file the document.
To fill out the Preston emergency medical authorization document, provide necessary personal information of the individual, contact details for the guardian, and specify the medical providers authorized to treat the individual.
The purpose of the Preston emergency medical authorization document is to ensure that medical professionals have the authority to provide emergency care when the guardian or parent is not available.
The document must include the individual's full name, date of birth, emergency contact information, names of authorized medical providers, and the signature of the guardian or parent.
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