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1. Identification of Parties: Details of the minor (full name, date of birth, address) and parent(s)/legal guardian(s) authorizing the release
2. Emergency Contacts: List of primary and secondary emergency contacts with full contact details
3. Medical Authorization Grant: Explicit authorization for medical treatment, including scope of authorization and who can make medical decisions
4. Medical Information: Essential medical information including allergies, current medications, and existing medical conditions
5. Emergency Treatment Consent: Specific consent for emergency medical treatment when parent/guardian cannot be reached
6. Release of Liability: Statement releasing medical providers from liability when acting in good faith under this authorization
7. Duration and Validity: Period for which the authorization is valid and circumstances under which it expires or needs renewal
8. Privacy Consent: Consent for collection and sharing of medical information in accordance with Privacy Act 1988
9. Execution: Signature block for parent(s)/guardian(s) with date and witness provisions
1. Specific Medical Instructions: Detailed instructions for handling specific medical conditions or requirements - include when minor has ongoing medical needs
2. Religious/Cultural Considerations: Any religious or cultural preferences affecting medical treatment - include when relevant to the minor's family beliefs
3. Insurance Information: Health insurance details and billing preferences - include when treatment may require insurance coverage
4. Transportation Authorization: Permission for emergency medical transportation - include when form covers school/activity scenarios
5. Medication Administration: Specific instructions for regular medication administration - include when minor requires regular medication
6. Mental Health Treatment: Authorization for mental health treatment - include when psychological care might be needed
1. Schedule A - Detailed Medical History: Comprehensive medical history including past surgeries, hospitalizations, and treatments
2. Schedule B - Medication List: Detailed list of current medications, dosages, and administration schedules
3. Schedule C - Vaccination Record: Up-to-date vaccination history and schedule
4. Appendix 1 - Healthcare Provider Contacts: List of minor's regular healthcare providers and specialists
5. Appendix 2 - Special Care Instructions: Detailed instructions for specific medical conditions or special care requirements
Healthcare
Education
Childcare
Sports and Recreation
Emergency Services
Medical Tourism
Youth Services
Community Services
Religious Organizations
Legal
Compliance
Risk Management
Student Services
Healthcare Administration
Emergency Services
Youth Programs
Administrative Services
Medical Records
Child Safety
School Principal
Childcare Director
Sports Coach
Camp Coordinator
Youth Program Manager
School Nurse
Healthcare Administrator
Medical Practice Manager
Emergency Room Administrator
Risk Management Officer
Legal Compliance Officer
Student Services Coordinator
School Administrator
Athletic Director
Field Trip Coordinator
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