Get Student/delegate Medical Authorization Form

Completing the Student/Delegate Medical Authorization Form is essential for ensuring that medical needs are addressed during AASC sponsored functions. This guide will provide you with clear and detailed instructions on how to fill out the form online, making the process simple and efficient.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editing platform.
2. Enter the student/delegate's name in the designated fields, including first, middle, and last names. Also, provide the date of birth and select their gender.
3. Fill out the complete home address, ensuring that the number, street, city, and zip code fields are accurately completed.
4. Provide the name of the parent or legal guardian. Include contact numbers for home, work, and cell. If there is an alternative person to contact, provide their name, relationship to the student/delegate, and their phone numbers.
5. Specify the medical insurance company and enter the insurance policy number. Also, provide the physician's name and phone number.
6. Indicate any medical concerns by checking the relevant boxes and providing detailed descriptions as applicable in the space provided for explanations.
7. Answer questions regarding allergies, medications, and current illnesses or disabilities, providing explanations where necessary.
8. In the distribution of over-the-counter medications section, initial next to the medications for which you are granting permission. If you do not allow any medications, indicate this clearly.
9. Complete any additional sections related to medication history and acknowledgment by signing and dating where prompted.
10. Once all sections are accurately filled, save your changes. You can then download, print, or share the form as needed.

Complete the STUDENT/DELEGATE MEDICAL AUTHORIZATION FORM online to ensure thorough medical preparation for AASC events.