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                Get Pa Mcds Berks Emergency Contact/parental Consent Form 2019
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How to fill out the PA MCDS Berks Emergency Contact/Parental Consent Form online
This guide provides step-by-step instructions on how to fill out the PA MCDS Berks Emergency Contact/Parental Consent Form online. Ensuring all information is accurately provided is essential for the safety and well-being of the child.
Follow the steps to complete the form accurately
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
 - Begin by entering the child’s name, date of birth, and address in the designated fields. Ensure that the address is complete with city, state, and zip code.
 - Fill in the first parent/guardian's name and their primary phone number. Repeat this for the second parent/guardian, making sure to provide their address and contact details.
 - Input the email addresses of both parents/guardians, followed by their places of employment with corresponding business phone numbers and addresses.
 - Designate emergency contact persons by providing the names and telephone numbers of primary and secondary contacts, ensuring these individuals can be reached when the child is in care.
 - List individuals authorized to release the child, including their names, addresses, and phone numbers.
 - Complete the medical history section, providing the child’s physician/medical care provider's name, address, and phone number, along with any allergies, dietary restrictions, disabilities, and medications the child may be taking.
 - Indicate any additional information that may be necessary in an emergency situation and provide health insurance or medical assistance benefits, along with the policy number.
 - Review the parental consent section and ensure to provide the required signatures indicating consent for administering first-aid, obtaining emergency care, and allowing walks off the premises.
 - After all sections are filled out, review the document for accuracy. Save any changes made to the document, and choose to download, print, or share the completed form as needed.
 
Complete your PA MCDS Berks Emergency Contact/Parental Consent Form online today to ensure a safe and prepared environment for your child.
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        Completing parental consent means providing all required information and signatures on the consent form. For the PA MCDS Berks Emergency Contact/Parental Consent Form, ensure that each section is filled out correctly, and both parents or guardians sign if applicable. This ensures legal validity.
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