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Lourdes Academy Athletic Department Medical Authorization Form STUDENT INFORMATION: Name:Birth Date:Address:Grade:City, ST Zip:Home Phone:Gender:PARENT/GUARDIAN INFORMATION: Name:Name:Relationship:Relationship:Home

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Step 1: Gather all necessary information and documents

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Step 2: Identify the appropriate emergency contact information

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What is for emergency use when?

Emergency use authorization (EUA) is for the use of unapproved medical products or unapproved uses of approved medical products during a public health emergency.

Who is required to file for emergency use when?

Manufacturers, sponsors, or authorized agents of unapproved medical products or unapproved uses of approved medical products are required to file for emergency use authorization.

How to fill out for emergency use when?

To fill out for emergency use authorization, the applicant must provide data on the safety and effectiveness of the product, as well as information on manufacturing, packaging, and labeling.

What is the purpose of for emergency use when?

The purpose of emergency use authorization is to provide access to medical products that may help during a public health emergency when there are no adequate, approved, and available alternatives.

What information must be reported on for emergency use when?

Information on the safety and effectiveness of the product, manufacturing processes, labeling, and any known risks must be reported on for emergency use authorization.

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