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TMA/TSSAM PARTICIPATION MEDICAL EVALUATION FORM Personal History Name Sex Age DOB Sport(s) Grade School Address Telephone Personal Physician Have you ever had a participation physical before? Yes
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How to fill out medical authorization forms

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How to fill out medical authorization forms:

01
Obtain the necessary form: Start by contacting the healthcare provider or facility that requires the medical authorization form. They will provide you with the specific form that needs to be filled out.
02
Read and understand the instructions: Take the time to carefully read the instructions provided with the form. Understand the purpose of the form and the information that needs to be included.
03
Personal information: Begin by providing your personal information accurately. This may include your full name, date of birth, address, contact details, and any other required information.
04
Patient information: If you are authorizing medical treatment or access to medical records for someone else, you need to include their information as well. This includes their full name, date of birth, and any other necessary details.
05
Consent and authorization: Clearly state the purpose of the authorization and what specific actions are being authorized. Be precise in your language to avoid any confusion. If you are unsure about any aspect, seek clarification.
06
Sign and date: Once you have filled out all the required information, sign the form and include the date. This signature represents your consent and authorization. If you are filling out the form on behalf of someone else, their signature may also be required.

Who needs medical authorization forms:

01
Patients: In certain situations, patients may need to fill out medical authorization forms themselves. This can be to authorize treatment, release medical records, or give consent for certain procedures.
02
Parents or legal guardians: When the patient is a minor or incapable of providing consent, their parents or legal guardians may need to fill out medical authorization forms on their behalf.
03
Caregivers or family members: If you are responsible for the healthcare decisions of a loved one who is unable to provide consent due to illness, injury, or incapacity, you may need to fill out medical authorization forms to make decisions about their medical treatment.
04
Healthcare providers or facilities: Medical authorization forms may also be required by healthcare providers or facilities to ensure legal compliance and obtain consent for certain medical procedures or access to medical records.
Remember, the specific circumstances and requirements for medical authorization forms may vary depending on the healthcare provider, the nature of the authorization needed, and applicable laws or regulations. It is important to follow the instructions provided and consult with healthcare professionals if you have any questions.
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