Common use of Medical Treatment Clause in Contracts

Medical Treatment. In the event it comes to the attention of Holy Name of Xxxxx or its officers, directors and agents, and the Archdiocese of St Xxxx & Minneapolis, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called. Signature: Date: > Medication: My child is taking medication at present. My child will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are indicated on attached Prescription Drug & Medical Authorization Form. Signature: Date: > No Medication of any type, whether prescription or non-prescription, may be administered to my child unless the situation is life- threatening and emergency treatment is required.| Signature: Date: > Non-Prescription Medication: I hereby grant permission for non-prescription medication (such as non-asprin products, i.e. acetaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my child, if deemed appropriate. Signature: Date: **Specific Medical Information: Holy Name of Xxxxx will take reasonable care to see that the following information will be held in confidence:

Medical Treatment. In the event it comes to the attention of Holy Name of Xxxxx or its officers, directors and agents, and the Archdiocese of St Xxxx & Minneapolis, chaperones, or representatives associated with the activity that my child becomes ill with symptoms such as headache, vomiting, sore throat, fever, diarrhea, I want to be called. Signature: Date: > Medication: My child is taking medication at present. My child will bring all such medications necessary, and such medications will be well-labeled. Names of medications and concise directions for seeing that the child takes such medications, including dosage and frequency of dosage, are indicated on attached Prescription Drug & Medical Authorization Form. Signature: Date: > No Medication of any type, whether prescription or non-prescription, may be administered to my child unless the situation is life- threatening and emergency treatment is required.| required. Signature: Date: > Non-Prescription Medication: I hereby grant permission for non-prescription medication (such as non-asprin products, i.e. acetaminophen ac- etaminophen or ibuprofen, throat lozenges, cough syrup) to be given to my child, if deemed appropriate. Signature: Date: **Specific Medical Information: Holy Name of Xxxxx will take reasonable care to see that the following information will be held in confidence: