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Roseburg High School AUTHORIZATION TO DISCLOSE STUDENTS MEDICAL INFORMATION If this document is not signed, it is assumed that authorization is NOT given. Authorization is effective until it is revoked
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How to fill out medical authorization formoostburg school
How to fill out medical authorization formoostburg school
01
Obtain a copy of the medical authorization form from Oostburg school.
02
Fill out the patient's personal information, such as name, date of birth, and contact information.
03
Provide detailed information about the patient's medical history, including any pre-existing conditions or allergies.
04
Specify the names and contact information of the individuals authorized to make medical decisions on behalf of the patient.
05
Sign and date the form to certify that the information provided is accurate.
Who needs medical authorization formoostburg school?
01
Anyone who has a child attending Oostburg school and wishes to authorize medical treatment for their child in case of emergency.
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