Get Vysa Medical Release Form

Filling out the Vysa Medical Release Form online is a straightforward process that ensures you provide all necessary medical information for participation in soccer programs. This guide will walk you through each step, ensuring that you can complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the player's name in the designated field, ensuring to provide the full legal name.
3. Input the player's birth date, using the format requested on the form.
4. Complete the street address, city, state, and zip code for the player, making sure all details are accurate.
5. Provide the names of both parents/guardians, including their respective home and business phone numbers.
6. In the emergency contact section, list at least two names along with their home and business phone numbers for situations when a parent/guardian cannot be reached.
7. Detail any allergies or other medical conditions the player may have in the relevant fields.
8. Enter the name and business phone number of the player's physician.
9. Fill out the medical/hospital insurance company name and phone number, along with the policy holder's name and policy number.
10. Review the consent statement regarding medical assistance and ensure you agree to the terms stated before signing.
11. Provide your signature, date, and relationship to the player in the required areas.
12. If applicable, complete the notary section, ensuring it is signed and dated by a notary public.
13. Once all information is filled out, save your changes, and you may choose to download, print, or share the completed form.

Start completing the Vysa Medical Release Form online today!