Get Emergency Medical Information Form Pdf 2020-2025

Completing the Emergency Medical Information Form is crucial for ensuring that schools have accurate information regarding students' medical needs. This guide provides step-by-step instructions on how to fill out the form online efficiently and accurately.

Follow the steps to fill out the form successfully

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the student information section. Input the student's last name, first name, middle name, birth date, age, grade, and residence address accurately. Ensure you are using legible handwriting if filling it out online.
3. Fill out the parent/guardian information by entering the names of the mother/guardian and father/guardian, including their employers, addresses, and phone numbers. If either parent’s address differs from the student’s, please include it.
4. In the additional student information section, indicate with a check mark who the student lives with (both parents, mother, father, or other). If applicable, attach any necessary legal documents regarding parental access.
5. List any other brothers or sisters currently enrolled in Marion County Public Schools, providing their names and grades.
6. Detail any special health problems or needs requiring medical assistance at school. Check all applicable conditions and specify any medication or non-life-threatening allergies.
7. Indicate the medical services needed at school. Note that parent/guardian authorization and physician orders are required for these services.
8. Complete the child pick-up/emergencies section, including the full names, relationships, and phone numbers of individuals authorized to pick up the child. Update these contacts yearly, removing previous contacts that are not listed.
9. Affirm your understanding of the terms regarding the sharing of records and Medicaid eligibility, and then print your name, sign the form, and date it.
10. Finally, save your completed form, and you may choose to download, print, or share it accordingly as necessary.

Complete your Emergency Medical Information Form online today to ensure your child's health needs are met effectively.