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Shepherd of the Hills Lutheran Church 7691 S. University Blvd Centennial, CO 80122Please print in ink. SENIOR HIGH MEDICAL RELEASE FORM EFFECTIVE: January 2024 August 2024Youth Name:___ LASTFIRSTMIDDLEAddress:___

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How to fill out senior high medical release

01

Obtain a copy of the senior high medical release form from the school or healthcare provider.

02

Fill out all necessary personal information such as student's name, date of birth, and contact information.

03

Provide details of any known medical conditions or allergies that the student has.

04

Include emergency contact information for parents or guardians.

05

Sign and date the form to indicate consent for medical treatment in case of an emergency.

Who needs senior high medical release?

01

Any senior high school student participating in school sports or extracurricular activities may need to fill out a senior high medical release form.

02

Parents or guardians of senior high school students may also need to fill out this form to give consent for their child to receive medical treatment during school hours.

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What is senior high medical release?

Senior high medical release is a form that allows a student to receive medical treatment while participating in school activities.

Who is required to file senior high medical release?

Any senior high student who wishes to participate in school activities and may require medical treatment is required to file senior high medical release.

How to fill out senior high medical release?

Senior high medical release can be filled out by providing student personal information, emergency contact information, medical history, physician contact information, and any necessary medical treatment authorizations.

What is the purpose of senior high medical release?

The purpose of senior high medical release is to ensure that students can receive necessary medical treatment in case of an emergency during school activities.

What information must be reported on senior high medical release?

Information such as student name, date of birth, allergies, current medications, emergency contacts, physician information, and treatment authorizations must be reported on senior high medical release.

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