Get Msysa Medical Release Form

Filling out the Msysa Medical Release Form online is a straightforward process that ensures your child's health information is readily available in case of an emergency. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Enter your child's name in the designated field where it prompts for 'INSERT CHILD’S NAME'. This identifies the individual for whom the medical release is being completed.
3. Complete the section regarding the parent or guardian. Provide your name, relationship to the child, address, city, state, zip code, home phone, office phone, and cell phone. This information establishes who is responsible for the child's medical decisions.
4. Fill in the details of your insurance provider. Include the insurance company name, agent, type of insurance, and policy number. This section is crucial for ensuring access to medical care if needed.
5. Designate individuals who can act on your behalf in case you cannot be reached. You may select from options such as coach, assistant coach/manager, team parent, or league representative. Ensure you provide their contact information as prompted.
6. Provide the name and contact details of your physician, including their address and phone number. This helps medical personnel reach your child's doctor if necessary.
7. Indicate any known allergies, disabilities, or other important medical information that caregivers should be aware of about your child. This information helps ensure your child receives the proper care.
8. Lastly, provide your signature and date where it states 'Signature of Parent/Guardian & Date'. This confirms your authorization of the medical release.
9. If required, complete the notary section by providing the date and year. This step may vary based on the specific requirements for the release.
10. After filling out all necessary sections, review the form for completeness and accuracy. You can then save changes, download, print, or share the form as needed.

Complete your documents online for quick and easy processing.