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COASTAL BEND COLLEGE BASKETBALLSUMMER CAMP MEDICAL, LIABILITY, MEDIA RELEASE:Parent/Guardian Signature:Date :EMERGENCY CONTACT INFORMATION: 1st Contact Person Phone # (Work or Cell) ()2nd Contact

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How to fill out parentguardian consent medical release

01

Obtain the necessary form for parent/guardian consent medical release.

02

Fill out the form with the child's personal information, including name, date of birth, and medical history.

03

Ensure the parent or legal guardian signs and dates the form to provide consent for medical treatment.

04

Make a copy of the completed form for your records and provide the original to the healthcare provider or organization.

Who needs parentguardian consent medical release?

01

Parent or legal guardian of a minor child who requires medical treatment from a healthcare provider or organization.

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What is parentguardian consent medical release?

Parent/guardian consent medical release is a form that authorizes the release of the minor's medical information to designated individuals.

Who is required to file parentguardian consent medical release?

Parent or legal guardian of a minor is required to file parent/guardian consent medical release.

How to fill out parentguardian consent medical release?

Parent/guardian must complete the form with their personal information and sign to authorize the release of the minor's medical information.

What is the purpose of parentguardian consent medical release?

The purpose of parent/guardian consent medical release is to allow designated individuals to access the minor's medical information for necessary purposes.

What information must be reported on parentguardian consent medical release?

The parent/guardian's personal information, minor's personal information, and the designated individual's information must be reported on parent/guardian consent medical release.

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