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Hampton First Baptist Academy 20202021 EMERGENCY MEDICAL AUTHORIZATION Child's Name: Please list environmental, food, and/or drug allergies List medications currently taken on a regular basis, condition

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How to fill out emergency medical authorization

01

Step 1: Begin by obtaining a blank emergency medical authorization form.

02

Step 2: Provide the necessary personal information of the person giving authorization, such as their full name, contact details, and relationship to the minor (if applicable).

03

Step 3: Specify the details of the authorized individuals who can make medical decisions on behalf of the minor in case of an emergency, including their full names, contact information, and relationship to the minor.

04

Step 4: Indicate any specific medical conditions, allergies, or medications that the minor may have, along with proper instructions or precautions that need to be taken in case of an emergency.

05

Step 5: Sign and date the emergency medical authorization form, ensuring that it is done in the presence of witnesses or a notary if required.

06

Step 6: Keep a copy of the completed form for your records and provide a copy to all authorized individuals, the minor's healthcare providers, and any relevant institutions (e.g., school, daycare).

Who needs emergency medical authorization?

01

Emergency medical authorization is typically needed for minors who may require medical attention in the absence of their parents or legal guardians.

02

Common examples include children attending school trips, summer camps, sports events, or being under the care of a trusted adult other than their parents for a certain period of time.

03

It helps ensure that authorized individuals have the legal rights to make necessary medical decisions in case of an emergency when parents or legal guardians are unavailable.

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What is emergency medical authorization?

Emergency medical authorization is a document that grants permission for medical treatment in case of an emergency.

Who is required to file emergency medical authorization?

Parents or legal guardians of minors are required to file emergency medical authorization.

How to fill out emergency medical authorization?

Emergency medical authorization can be filled out by providing accurate and up-to-date medical information and signing the document.

What is the purpose of emergency medical authorization?

The purpose of emergency medical authorization is to ensure that medical personnel have consent to administer treatment in emergency situations.

What information must be reported on emergency medical authorization?

Emergency medical authorization must include the minor's medical history, allergies, current medications, and emergency contact information.

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