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IF REASONABLE ATTEMPTS TO REACH ME FAIL, I HEREBY GIVE MY CONSENT FOR: 1. The administration of any treatment deemed necessary by the medical professionals I have listed as my child's physician in the "emergency contacts" section of this enrollment form. 2. If my designated medical professional is not available, by another medical professional; and 3. The transfer of my child to any hospital reasonably accessible.
Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment
Consent for Emergency Medical Treatment for the Second Child
Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for the 2nd child.
Consent for Emergency Medical Treatment for the Third Child
Please enter the name of the parent or legal guardian who completed Consent for Emergency Medical Treatment for the 3rd child.
Tue, December 3 2024 2 Kislev 5785