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Get Grandparents University Medical Treatment Authorization Form 2013

Pate in Grandparents University at MSU. Complete one form for each child participating and duplicate as needed. This form entails permission to treat the participant for injuries or medical problems. In the event of serious injury or illness, the parent or person designated will be contacted. Treatment will proceed before contacting the parent or person designated only if the situation is urgent and does not permit delay. Child Participant’s Full Name Birth Date Primary Physician’s name Ph.

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