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EMERGENCY MEDICAL AUTHORIZATION CARD (Last) (Fiest) (Middle) (PLEASE PRINT)Child\'s NameSchool: ___Homeroom Teacher:___ Home Address: ___ Home phone: ___ Birth Date___.___. ___Email: ______ Cell phone:___ I.

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What is chesapeake emergency medical authorization?

Chesapeake emergency medical authorization is a form that allows individuals to authorize emergency medical treatment in case of an emergency.

Who is required to file chesapeake emergency medical authorization?

Parents or legal guardians are required to file chesapeake emergency medical authorization for minors under their care.

How to fill out chesapeake emergency medical authorization?

Chesapeake emergency medical authorization can be filled out by providing personal information, emergency contacts, medical history, and any specific instructions for emergency medical treatment.

What is the purpose of chesapeake emergency medical authorization?

The purpose of chesapeake emergency medical authorization is to ensure that individuals receive appropriate emergency medical treatment in the event of an emergency, especially when their guardians or parents are not present.

What information must be reported on chesapeake emergency medical authorization?

Information such as personal details, emergency contacts, medical history, allergies, medications, and any specific instructions for emergency medical treatment must be reported on chesapeake emergency medical authorization.

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