Get Health Information And Consent For Emergency Medical Treatment Form For Minors

Filling out the health information and consent for emergency medical treatment form for minors is crucial for ensuring that appropriate care is provided in case of an emergency. This guide will help you navigate the process of completing the form online with clarity and confidence.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to access the health information and consent for emergency medical treatment form for minors online.
2. Upon accessing the form, begin by filling out the 'University of Notre Dame' section. Provide the name of the research department associated with the program.
3. Next, enter the name and birth date of the minor child for whom consent is being granted in the appropriate fields.
4. In the permission for treatment section, confirm that the health history is correct and acknowledge that you are granting permission for emergency medical treatment if necessary.
5. Complete the release of information section by providing your name as the parent or legal guardian, along with your city, county, and state.
6. Clearly state your relationship to the minor child and give your consent for medical attention as needed by signing the designated area.
7. Fill out emergency contact information, including two phone numbers where you can be reached during the program.
8. Provide details regarding the family doctor, family dentist, medical insurance, and any pertinent medical history such as allergies or existing conditions.
9. Indicate any current medications your child is taking, including dosages, and the date of their last tetanus injection.
10. Lastly, review all entered information for accuracy and completeness before finalizing your entry.
11. Once satisfied, save changes, download, or print the completed form for your records, or share it as required.

Complete your forms online now to ensure your child's health information is readily available in case of an emergency.