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WESTPORT SOCCER ASSOCIATION PO Box 2561 Westport, CT 06880 2032219900 www.westportsoccer.org2019/2020 RELEASE & MEDICAL AUTHORIZATION Release:I, the undersigned, am the parent or legal guardian of
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Open the travel medical release form20192020docx document.
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Read the instructions and guidelines carefully.
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Fill in your personal information, such as your full name, date of birth, and contact details.
04
Provide details about your medical history, including any pre-existing conditions or allergies.
05
If applicable, mention the specific dates of your travel and destination.
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Who needs travel medical release form20192020docx?

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Anyone who is planning to travel and requires medical attention during their trip should fill out the travel medical release form20192020docx. This form is typically needed by individuals who have pre-existing medical conditions, allergies, or require specific medical treatments or medications. It is especially important for those travelling to countries where medical facilities may be limited or the language barrier may prevent effective communication with healthcare providers. It is advisable to consult with your healthcare provider or travel agency to determine if filling out this form is necessary for your specific situation.
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The travel medical release form20192020docx is a document that grants permission for medical services to be provided to an individual during travel, specifically in cases of emergencies or unforeseen circumstances.
Individuals traveling, especially minors, parents or guardians traveling with them, and organizations responsible for groups often need to file the travel medical release form20192020docx.
The form should be filled out by providing personal information of the traveler, emergency contact details, medical history, and consent signature, ensuring all sections are completed as per the instructions.
The purpose of the travel medical release form20192020docx is to legally authorize medical professionals to treat the individual in case of an emergency while traveling.
The information that must be reported includes the traveler's full name, date of birth, emergency contacts, insurance information, allergies, and any pre-existing medical conditions.
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