Get Temporary Fillable Medical Release Form For Children

Filling out the Temporary Fillable Medical Release Form for Children is an essential step for ensuring proper medical care and liability management during children's activities. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the form online effectively.

1. Click 'Get Form' button to access the form and open it in your preferred online editor.
2. Begin by filling out the child's name. Enter the last name in the first blank and the first name in the second blank.
3. Indicate the child's age by writing the corresponding number in the Age section.
4. Provide the child's date of birth in the specified format (month/day/year) in the DOB section.
5. Enter the child's home address, including the street, city, and zip code in the designated fields.
6. Provide the home phone number in the specified format, and then fill in the parent's cell phone number.
7. In the emergency contact section, write the name of the individual to notify in case of an emergency along with their relationship to the child.
8. Fill out the emergency contact's day and night phone numbers.
9. Write the family doctor’s name, the city they practice in, and their phone number.
10. Detail the health insurance provider's name, policy number, address, and their phone number.
11. Provide the name of the main insured individual and their subscriber number.
12. Fill in the health history section by checking relevant allergies and conditions. Include any other pertinent health information and normal treatment.
13. Indicate the date of the last tetanus shot and whether there are any activity restrictions. If yes, list them in the space provided.
14. List the name and dosage of any medication your child takes regularly.
15. Review the medical release and liability release sections carefully, ensuring you understand the permissions being granted.
16. Ensure both the parent/guardian signature and date are completed, along with the printed name and relationship to the child.
17. Once all fields are filled out, save any changes, and choose an option to download, print, or share the form as required.

Complete your Temporary Fillable Medical Release Form for Children online today to ensure a smooth process for your child's activities.