2012 Million Dollar Band Medical Information Form - University of ... - bands ua-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the member's name in the designated field at the top of the form.
3. Indicate the member's sex by circling 'M' for male or 'F' for female, and provide their date of birth.
4. Fill in both Tuscaloosa residence and permanent residence addresses, ensuring all fields are complete.
5. Enter contact numbers for both phone and cell under each respective section.
6. List primary and secondary emergency contacts, including their names, phone numbers, and addresses.
7. Provide medical information such as hospital preference, physician's name, insurance details, and any allergies or special health considerations.
8. Finally, sign and date the form at the bottom to authorize the sharing of this information for emergency medical treatment.

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