Get Pa Pmea Student Medical Information Form 2018-2025

Filling out the Pennsylvania Music Educators Association (PMEA) Student Medical Information Form is essential for ensuring that your child receives the necessary support during their participation in music festivals. This guide will provide you with clear steps to complete the form online accurately and efficiently.

Follow the steps to complete the PA PMEA Student Medical Information Form online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online document editor.
2. Begin by entering the date, student name, sex, and date of birth in the designated fields. Ensure that all information is printed or typed for clarity.
3. Fill in the home address of the student, including street, city, state, and zip code. Provide the grade and age of the student as well.
4. Enter the name of the director and their cell phone number, along with the school's name.
5. Complete the sections for parent or guardian details. List Full Names, Work Phone Number, and Cell Phone Number for both Parent/Guardian #1 and Parent/Guardian #2.
6. Indicate if the student is currently under medical treatment by selecting 'YES' or 'NO'. If yes, provide details about the nature of the treatment, including the doctor's name and phone number.
7. State whether the student is taking any medications and if they will require those medications during the festival. If yes, note that a separate medication administration form will be necessary.
8. List any special health needs or allergies the school nurse or medical personnel should be aware of. Be sure to indicate whether the student has allergies and if they carry an epi-pen.
9. Fill in any physical conditions that may require attention in case of emergencies.
10. Complete details of the student’s health insurance, including the name of the insurance company, guarantor name, employer, and any relevant policy details.
11. Provide emergency contacts who can give medical advice if neither parent or guardian is reachable. Include names, addresses, relationships to the child, and cell phone numbers.
12. Sign and date the form, ensuring to acknowledge that the information provided is accurate. Remember that this document will be shared with those who need to know.
13. Review the form for completeness. Save the filled form, and you may choose to download, print, or share it as required.

Complete the PA PMEA Student Medical Information Form online to ensure your child's needs are met during the festival.