Get Emergency Medical Authorization - Tiffin University

This guide provides clear and supportive instructions on how to accurately complete the Emergency Medical Authorization form for Tiffin University. Follow these steps to ensure that your medical preferences are documented and available in case of emergencies.

Follow the steps to complete the form efficiently.

1. Use the ‘Get Form’ button to access the Emergency Medical Authorization form and open it in your preferred editor.
2. Begin by filling in the student's name in the designated field at the top of the form. Ensure that the name is written clearly and accurately.
3. Next, provide the names of the student’s parents or guardians in the corresponding section. Include both first and last names.
4. Enter the home number of the parents or guardians. This information is crucial for contact purposes in an emergency situation.
5. Fill in the cell phone number for the parents or guardians to ensure quick communication when necessary.
6. Complete the full address of the parents or guardians. Make sure to include street address, city, state, and zip code.
7. In the next section, indicate your consent for medical treatment and transfer. Read the statement carefully and ensure understanding of the terms, particularly regarding major surgery.
8. Describe any relevant facts regarding the student’s medical history, such as allergies, current medications, or physical impairments. This information is vital for healthcare providers.
9. Sign and date the form in the designated areas as the student and also ensure the parent or guardian signs and dates their section. This is an essential part of the authorization.
10. Once all fields are filled out correctly, save your changes. You may then choose to download, print, or share the form as needed. Ensure it is submitted via email to Scott Saracusa before the specified deadline.

Complete your Emergency Medical Authorization form online today to ensure your medical needs are met in an emergency.