Get Medical Consent - Form 89 - Omega Psi Phi Fraternity - Omegapsiphifraternity 2020-2025

Completing the Medical Consent - Form 89 is an essential step for participants in Omega Psi Phi Fraternity activities. This guide will provide you with clear and supportive instructions to ensure you fill out the form correctly and efficiently, making the process as straightforward as possible.

Follow the steps to successfully complete your medical consent form.

1. Locate and select the ‘Get Form’ button to access the Medical Consent - Form 89. This will allow you to open the form in a suitable online editor.
2. Begin by entering the applicant's full name in the designated fields for last name, first name, and middle initial. Ensure the spelling is correct, as this information is critical.
3. Fill in the home address, including city, state, and zip code, to provide accurate location information for the applicant.
4. Specify the sponsoring chapter and provide its address. This section helps link the applicant to the relevant fraternity chapter.
5. Identify the responsible party within the chapter by entering their name and title. Fill out their address, including city, state, and zip code, for contact purposes.
6. Complete the telephone fields for both home and business, providing two separate phone numbers if applicable.
7. In the medical examination section, input the date of examination and the applicant's date of birth, as well as height, weight, and blood pressure readings.
8. Indicate normal or abnormal findings for each body system in the provided sections. Use the comments area for any additional notes related to the examination.
9. Answer whether there are any allergies to medication and list any if necessary. Note any restrictions in the space provided.
10. Print and sign the physician's name in the appropriate area along with their address and phone number.
11. As the parent or guardian, provide your name, phone number, and address. Ensure to include contact information in case of emergencies.
12. List emergency contacts along with their addresses and phone numbers. Include at least two contacts if the parent or guardian cannot be reached.
13. Complete the section regarding medical insurance, including the policy name and number.
14. Answer the medical history questions and provide any necessary explanations for 'yes' answers.
15. Provide a detailed list of medications, including names, dosages, and times when they are administered.
16. Read the consent to treatment and participation/media release sections carefully. Then, provide a signature to indicate your agreement.
17. Finally, save the changes made to the form. You can then download, print, or share the completed Medical Consent - Form 89 as needed.

Complete your Medical Consent - Form 89 online today for a smooth participation experience in Omega Psi Phi Fraternity activities.