Get Shsmedrelform0809evr1.doc

This guide provides clear instructions on how to effectively complete the SHSMedRelForm0809EVr1.doc online for the Schurr High School Performing Arts Department. Following these steps will ensure that you accurately fill out all necessary fields for the medical release form.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by checking the participation programs offered, such as Marching Band, Jazz Band, or Orchestra. Mark all applicable options.
3. Indicate the grade your student will be entering in Fall by checking the appropriate box.
4. Enter the student's full name, including last name, first name, and middle initial.
5. Fill in the student ID and section related to the student.
6. Provide the names of the parents or legal guardians as required.
7. Input the contact information, including email addresses and phone numbers for both the parents/guardians and the student.
8. List the residential address, ensuring to include street information, city, and zip code.
9. Include information for designated emergency contacts, including their names and telephone numbers.
10. Document the family physician's name, address, and phone number.
11. Detail the medical insurance information, including the company name and policy number, or indicate 'NONE' if not applicable.
12. Answer the health-related questions about contact lenses, acetaminophen, tetanus booster date, and allergies. Provide specific details or write 'NONE' if there are no relevant issues.
13. List any ongoing medications and physical activity restrictions, attaching a physician’s note if necessary.
14. Complete the section regarding any other medical history concerns or conditions, writing 'NONE' if there are none.
15. Sign the form in blue ink, ensuring all required information is complete, then save your changes.
16. Download and print the completed form, or share it as per the requirements.

Complete your documents online today to ensure your student's participation in the program.