Authorization for release of pennsylvania emergency medical 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the participant’s name, gender, and birthdate in the designated fields. Ensure accuracy as this information is crucial for identification.
3. Fill in the street address, city, and zip code. Avoid using a P.O. Box to ensure proper communication.
4. Provide primary phone and email for the participant. If the participant is a minor, include parent/guardian contact details in the specified sections.
5. List emergency contacts with their names, relationships to the participant, and primary phone numbers. This ensures quick access during emergencies.
6. Document any allergies or medical conditions that may affect treatment. This information is vital for healthcare providers.
7. Complete the liability waiver section by reading carefully and signing where indicated. Ensure all signatures are obtained if the participant is under 18.

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