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Envision Science Academy Emergency Medical Treatment Form 20222023 In the event of my absence, I, ___, parent/guardian of ___, do hereby give the Athletic Director, coaching staff, athletic trainers
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01
Obtain the necessary form for emergency medical authorization.
02
Provide accurate and up-to-date personal information such as name, date of birth, and contact information.
03
Include any known allergies, medical conditions, and current medications.
04
Specify emergency contacts and their contact information.
05
Sign and date the form to certify the information provided.

Who needs emergency medical authorization this?

01
Anyone who wants to ensure that their medical needs are met in case of an emergency.
02
Parents of minors who may require medical treatment when they are not present.
03
Individuals with chronic medical conditions or allergies that may require immediate attention.
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Emergency medical authorization is a legal document that grants permission for medical treatment to be administered in case of an emergency situation when the patient is unable to provide consent.
Typically, parents or legal guardians of minors, as well as adult patients who wish to authorize someone else to make medical decisions on their behalf, are required to file emergency medical authorization.
To fill out emergency medical authorization, individuals need to provide accurate personal information, details about medical preferences, emergency contacts, and the specific authorization for treatment to be given in emergencies.
The purpose of emergency medical authorization is to ensure that necessary medical care can be provided without delay in critical situations, protecting the health and safety of individuals who are unable to consent.
Information that must be reported includes the patient's name, date of birth, medical history, specific conditions to be aware of, contact information for emergency contacts, and the signatures of the authorizing party.
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