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CHECK ONE: Middle School (68) High School (912) the YOUTH MINISTRY of Bethlehem United Methodist Church STUDENT CONTACT INFORMATION Student Name: Date of Birth: / / Grade: Mailing Address: (address)(city)(zip)Students
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How to fill out shine student medical release

01
Start by downloading the shine student medical release form from the official website.
02
Print the form and read it carefully to understand the information required.
03
Fill out the student's personal information section, including their name, date of birth, and contact details.
04
Provide the name and contact information of the student's primary care physician.
05
Mention any known allergies or medical conditions the student has.
06
Sign and date the form to acknowledge and authorize the release of medical information.
07
If required, provide additional details or instructions as mentioned in the form.
08
Once completed, review the form for accuracy and completeness.
09
Submit the filled-out form to the concerned authorities or educational institution as specified.

Who needs shine student medical release?

01
Shine student medical release is needed by students who participate in school activities, field trips, or any program where emergency medical treatment may be required.
02
It is also required for students with specific medical conditions or allergies to ensure that proper care and information is provided to the school or program authorities.
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The SHINE student medical release is a legal document that allows medical professionals to treat a student in case of illness or injury when the parent or guardian cannot be reached.
Parents or guardians of students are typically required to file the SHINE student medical release.
To fill out the SHINE student medical release, provide the student's personal details, emergency contact information, and consent for medical treatment in a clear and complete manner.
The purpose of the SHINE student medical release is to ensure that medical care can be provided to students promptly in emergency situations without delay due to lack of parental consent.
Information that must be reported includes the student's name, date of birth, emergency contact details, medical history, allergies, and consent signatures.
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