CANADIAN HOCKEY ASSOCIATION PLAYER MEDICAL INFORMATION SHEET Name: Date of birth: Day Month Year Address: Postal Code: Telephone: Provincial Health Number: Mother s Name: Father s Name: Business Telephone.
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How to fill out the player medical information sheet online
Filling out the player medical information sheet is an essential step to ensure the safety and health of participants in hockey programs. This guide provides detailed instructions on how to complete the form accurately and efficiently online, allowing you to provide the necessary information with ease.
Follow the steps to fill out the player medical information sheet online
- Press the ‘Get Form’ button to retrieve the player medical information sheet and open it in the online editor.
- Begin filling in the form by entering your child’s name at the top of the sheet.
- For the date of birth section, provide the day, month, and year of birth using the designated fields.
- Input your child’s residential address, including postal code, followed by a contact telephone number.
- Fill in the provincial health number, which can usually be found on your child’s health card.
- Provide the names of the mother and father, along with their respective business telephone numbers.
- In the emergency contact section, list a person to contact if the parents cannot be reached, including their name and phone number.
- Enter the address of the emergency contact as needed.
- Enter the name and telephone number of your child’s doctor and dentist.
- Answer the series of health-related questions by circling ‘Yes’ or ‘No’ to indicate any relevant medical history or current issues.
- For any ‘Yes’ responses, provide additional details in the space provided regarding medications, allergies, and other medical conditions.
- Indicate the date of the last complete physical examination.
- Read the parental responsibilities statement, then sign and date the form to confirm your understanding and authorization.
Complete the player medical information sheet online today to ensure your child's safety in hockey programs.
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