Get Epysa Medical Release
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the EPYSA Medical Release online
Filling out the EPYSA Medical Release online is an essential step for participants in youth soccer programs. This guide will provide you with detailed instructions to ensure you complete the form accurately and efficiently.
Follow the steps to successfully complete the EPYSA Medical Release.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Provide the player's name and date of birth in the designated fields. Make sure to double-check that the information is correct.
- Fill in the player's address, including the city, state, and zip code. Ensure the details are current and complete.
- In the emergency information section, enter the names and contact details (home, work, and cell phone numbers) for both parents or guardians.
- Designate alternative contacts in case of an emergency by providing their names and contact information.
- Indicate any allergies or medical conditions that the player has in the appropriate fields. This information is critical for medical personnel in case of an emergency.
- Fill out the player's physician's details along with their work and secondary phone numbers, ensuring all information is accurate.
- Specify the medical and/or hospital insurance information, including the company name, contact phone number, policy holder’s name, policy number, and group number.
- Make a photocopy of both sides of your medical insurance card and attach it to the form as instructed.
- Review the Parent’s Approval and Medical Release section carefully. Sign and date the form to provide consent for treatment and to release liability.
- Once completed, save your changes, and you can choose to download, print, or share the form as needed.
Complete the EPYSA Medical Release online today to ensure your child's participation in the soccer program.
Related links form
Filling out a medical history form necessitates collecting comprehensive information regarding your health. You should include personal details, a record of past illnesses and treatments, current medications, and any allergies. Ensure the accuracy of the information provided, as it is critical for your healthcare team. You can use the EPYSA Medical Release to aid in sharing this valuable information with medical professionals quickly.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.