Get Medical Release Form - La-demolay.org - La-demolay

Filling out the Medical Release Form is an important step in ensuring that emergency medical treatment can be provided for your minor child when necessary. This guide provides clear instructions on how to complete the form accurately and effectively.

Follow the steps to complete your Medical Release Form effectively.

1. Press the ‘Get Form’ button to acquire the form. This will allow you to open it in your preferred form editor.
2. Begin filling out the 'Medical Information' section. Input your child's name and date of birth in the appropriate fields. Ensure accurate spelling and correct dates.
3. Complete the home address section with the full address, including city, state, and zip code. This information is crucial for identification purposes.
4. Provide the home telephone number where you can be reached. Enter in the designated field.
5. Fill in the names and contact information for both parents or guardians. Make sure to include at least one phone number that can be used to reach them.
6. Include the name and phone number of your child's physician. This is important for medical professionals who may need to consult with the physician in case of an emergency.
7. In the event that parents/guardians cannot be reached, provide an alternative contact's name and phone number.
8. List any critical medical information and health problems in the designated space. Be thorough to ensure appropriate medical response.
9. Document any medications your child is currently taking, as well as any known allergies that healthcare providers should be aware of.
10. Enter information regarding your medical insurance, including the company name and policy or group number. This information will assist in processing any necessary claims.
11. Fill out the emergency medical and surgical treatment consent section. Both the minor and parent/guardian should provide their signatures to indicate consent.
12. Specify the activation date and time for the form, as well as the deactivation date and time, ensuring that this information is filled out accurately.
13. After completing all sections, review the form for accuracy. Once verified, you can save changes, download, print, or share the completed form for future reference.

Complete your Medical Release Form online to ensure your child's safety and well-being during emergencies.