Get Medical Acceptance Form For 2011-2012 - Siprep

Filling out the Medical Acceptance Form For 2011-2012 - Siprep online is a straightforward process. This guide will help you navigate each section of the form efficiently, ensuring that you provide all necessary information for the proper medical care of your child.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the document and open it in the editor.
2. In the ‘Student Information’ section, please print the required information such as the last name, first name, and middle name. Make sure this information is accurate and legible.
3. Indicate the sex of the student by circling either 'M' or 'F'.
4. Circle the current year in school, which can be 9, 10, 11, or 12.
5. Enter the student’s date of birth. Ensure it is formatted correctly.
6. Fill in the height and weight of the student. Accuracy in these details is essential for health records.
7. List any known allergies the student may have in the designated space. Include as much detail as possible.
8. Provide a list of all current prescribed medications. It is important to include medication names and dosages.
9. Record all recent immunizations in the specified section, along with dates if available.
10. If the student has health or accident insurance, enter the name of the health care provider, the policy number, and the provider’s phone number.
11. Review the authorization statement regarding emergency treatment and transport. Ensure you understand the implications.
12. Sign your name twice where requested to indicate you are the parent or guardian of the student. Include printed names below each signature.
13. Enter your phone number in the designated space for contact information.
14. After reviewing all the provided information for accuracy, save your changes, or download, print, or share the completed form as needed.

Complete your Medical Acceptance Form online today for a smooth submission process.