Get Bcc Med Info And Release Form - Western Carolina University - Wcu

Filling out the BCC Med Info And Release Form is an important step for participants in the Base Camp Cullowhee program at Western Carolina University. This guide will provide clear and supportive instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form online.

1. Locate the 'Get Form' button and click it to access the form and open it for editing.
2. Begin by entering your name and student ID number in the designated fields. Make sure to provide an accurate email address and phone number for contact purposes.
3. Fill in your address details, including city, state, and zip code. Indicate your age and sex by circling the appropriate option.
4. Provide information about your insurance provider, including the policy number and emergency contact details, including name, relationship, and phone numbers.
5. List any medications you are currently taking, both prescription and over-the-counter, along with a brief health history detailing any conditions or treatments you have had.
6. Include information on allergies and any conditions requiring regular medication. Describe any recent injuries, illnesses, or operations.
7. Disclose any other physical disabilities, chronic conditions, or emotional, mental, or behavioral disorders you may have.
8. Review the authorization for emergency medical care section and sign to grant permission for medical treatment in case of an emergency. If you are under 17, a parent or guardian must sign.
9. Complete the participant release of liability and assumption of risk agreement by reading the terms carefully and signing the document. A parent or guardian signature is also required for participants under the age of 17.
10. After filling out all required sections, make sure to save your changes. You may download, print, or share the form as needed.

Complete the BCC Med Info And Release Form online today to ensure your participation in the program.