Get Srva Medical Release Form

This guide provides step-by-step instructions on how to complete the Srva Medical Release Form online, ensuring a smooth process for parents and guardians. It is essential to accurately fill out this form to authorize medical treatment when a parent or guardian is not present.

Follow the steps to complete the form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the club name where the participant will be playing. This information helps to identify the organization associated with the medical release.
3. Provide the team name associated with the participant. This ensures clarity about which team the medical release applies to.
4. Fill in the participant's first and last name, along with their age and gender. Choose the appropriate option to represent the participant accurately.
5. Input the participant's address, including city, state, and zip code for proper verification in case of an emergency.
6. List the primary and alternate phone contacts, ensuring that communication channels are clear for medical emergencies.
7. Enter the primary insurance company and policy number. This information is crucial for medical services in case of an emergency.
8. Identify the family physician's name and contact number, which may be needed for immediate medical advice or assistance.
9. Provide information regarding any existing medical conditions, medications, and allergies that the medical team should be aware of.
10. Answer the concussion-related question, providing necessary details if applicable, to ensure the safety of the participant.
11. Sign the form as the participant, followed by the parent or guardian's signature and date. Ensure that all signatures are obtained as required.
12. Submit the completed form to the chosen club. Do not send the form to SRVA, as it needs to remain with the club.
13. You may want to save the completed form for your records. Download, print, or share the form as needed for future reference.

Ensure all participants are safe and compliant by completing the Srva Medical Release Form online today.