Get Thedacare Ps1151 1997-2026

Filling out the ThedaCare PS1151 medical treatment consent form online is essential for ensuring that your child receives timely medical care in your absence. This guide provides clear and comprehensive instructions to assist you in accurately completing the form.

Follow the steps to fill out the ThedaCare PS1151 form correctly.

1. Click ‘Get Form’ button to access the form and open it in the digital interface.
2. Begin by entering the child's name in the designated field. Ensure the name is spelled correctly, as this is crucial for medical identification.
3. Next, fill in the date of birth for the child. Format the date as MM/DD/YYYY to maintain consistency.
4. Provide the address of the child. This helps healthcare providers to reach you if necessary.
5. Input the father's name and place of employment. This information is useful for identification and contact purposes.
6. Enter the home and business phone numbers for the father to ensure reliable communication.
7. Proceed to enter the mother's name and place of employment, repeating the contact information process as described for the father.
8. Fill in the contact details for an emergency person who can be reached if both parents are unavailable. Include their relationship to the child.
9. Record the child's primary doctor and family doctor information to facilitate medical consultations.
10. Indicate any known allergies the child has to ensure safe medical treatment.
11. Provide any necessary medical information regarding the child, including the date of the last Tetanus shot and details about any significant illnesses.
12. Fill in the insurance company name and policy numbers to ensure coverage for medical treatment.
13. Identify the responsible party by providing their name to indicate who is accountable for the form.
14. Read the authorization statement carefully and sign the form, indicating your consent for treatment and medical procedures in your absence.
15. Finally, include the date of signing and the name of a witness if required. Review all entries for accuracy before finalizing.

Complete the ThedaCare PS1151 form online today to ensure your child's timely medical care during emergencies.