Common use of Emergency Medical Treatment Clause in Contracts

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Phone Number

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency contact: Name Relationship Phone Number

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Name Phone NumberNumber MEDICAL INFORMATION: Medication my child is taking at present Allergies Other Medical Conditions Family Health Plan carrier number Family Doctor Phone Number As Parent or Guardian, I agree to all of the above stated considerations and conditions.

Emergency Medical Treatment. In the event of an any emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any an emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Phone Numbercontact: .

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Phone Numberat .

Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by a doctor the hospital or hospitaldoctor. In the event of any an emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Phone Numbercontact:

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child to a hospital for emergency medical treatment. I wish to be advised prior to any further treatment by a doctor or hospital. In the event of any an emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Contact Relationship Phone NumberAs Parent or Guardian, I agree to all of the above stated considerations and conditions. SIGNATURE DATE

Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by a doctor the hospital or hospitaldoctor. In the event of any an emergency, if you are unable to reach me at the above numbers, contact Name/Relation Emergency Phone Numbercontact: Name & relationship: Family Phone: Doctor: Phone: Family Health Plan: Policy #:

Emergency Medical Treatment. In the event of an emergency, I give permission to transport my child child/xxxx to a hospital for medical emergency treatment. I wish to be advised prior to any further treatment by a doctor the hospital or hospitaldoctor. In the event of any emergency, if you are unable to reach me at the above numbers, contact numbers contact: Name/Relation Emergency : Phone NumberNumbers:

Emergency Medical Treatment. In the event of an emergency, I hereby give permission to transport my child to a hospital for emergency medical or surgical treatment. I wish to be advised prior to any further treatment by a doctor the hospital or hospitaldoctor. In the event of any an emergency, if you are unable to reach me at the above numbersnumbers listed herein, contact Name/Relation Emergency Phone Numbercontact: Name & relationship: Phone: Family doctor: Phone: Family Health Plan Carrier: Policy #: Signature: Date: