Get Wellstar Medical Release Form

Filling out the Wellstar Medical Release Form online is a straightforward process that ensures you can volunteer at Wellstar Kennestone Hospital with all necessary medical clearances in place. This guide will provide you with clear and supportive instructions to complete the form accurately and efficiently.

Follow the steps to fill out the Wellstar Medical Release Form online

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the volunteer applicant's name and phone number in the designated fields.
3. Indicate whether any physical, emotional, or mental limitations could interfere with the applicant's ability to function in a hospital environment by selecting ‘Yes’ or ‘No’. If 'Yes', please provide additional details regarding these limitations.
4. If the applicant was born after 1957, confirm whether their DPT, MMR, and Chicken Pox immunizations are up-to-date. Attach proof of immunization or a titer test as required.
5. Include any relevant additional comments that you think may be important for the reviewers to consider.
6. Ensure to fill in the printed physician's name, obtain their signature, and indicate the date of signature.
7. Complete the physician's office address, including city and zip code, and provide the office phone number.
8. Once you have filled out all sections correctly, save any changes, download the document as needed, or print it for submission.

Complete your documents online today for a seamless volunteering experience!