Adult Medical Release Form (18+ years) - First Presbyterian Church 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your name in the designated space where it states 'I _________ authorize...'. This section is crucial as it identifies you as the individual granting medical authorization.
3. Next, indicate the date on which you are completing this form. This is important for record-keeping and validation purposes.
4. Provide your signature in the space marked 'X Signature'. Ensure that your signature is clear and legible, as this confirms your consent.
5. In the witness section, a notary public will need to sign and date the document. Make sure to leave this area blank until a notary can complete it.
6. Fill out your insurance provider details, including the policy number and group number. This information is essential for any medical care that may be required.
7. Lastly, ensure all fields are completed accurately before saving or exporting your document for submission.

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