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1. Participant Information: Personal details of the athlete including full name, date of birth, address, and contact information
2. Emergency Contact Details: Names and contact information for primary and secondary emergency contacts
3. Medical History: Current medical conditions, past injuries, allergies, and ongoing medications
4. Primary Care Physician: Details of the participant's regular doctor and any relevant specialists
5. Consent for Emergency Medical Treatment: Authorization for emergency medical care, including transportation and treatment decisions
6. Release of Liability: Waiver releasing the organization from liability related to medical treatment decisions
7. Insurance Information: Details of health insurance coverage and policy information
8. Certification and Signature: Declaration of truth and signature section for participant/guardian and witness
1. Specific Sport Risks: Details of sport-specific medical risks and additional consents required for high-risk sports
2. Mental Health Information: Optional section for disclosure of mental health conditions and treatment requirements
3. COVID-19 Protocols: Specific provisions related to COVID-19 testing, vaccination status, and related protocols
4. International Travel Consent: Additional medical release provisions for athletes traveling internationally for competitions
5. Medical Treatment Preferences: Specific preferences or restrictions regarding certain medical treatments or procedures
6. Religious/Cultural Considerations: Special medical treatment considerations based on religious or cultural beliefs
1. Schedule A: Detailed Medical History Form: Comprehensive medical history questionnaire including family history and previous surgeries
2. Schedule B: Emergency Action Plan: Step-by-step protocol for emergency medical situations specific to the venue or organization
3. Schedule C: Medication Schedule: Detailed list of current medications, dosages, and administration schedules
4. Appendix 1: Medical Procedures Authorization List: Specific medical procedures authorized/not authorized in emergency situations
5. Appendix 2: Medical Provider Network: List of approved medical providers and facilities for emergency treatment
6. Appendix 3: Medical Records Release Form: Separate authorization for the release of medical records between healthcare providers
Emergency Care
Medical Provider
Authorized Representative
Legal Guardian
Medical Information
Health Records
Emergency Contact
Sports Organization
Participant
Medical Emergency
First Aid
Medical Facility
Consent
Release
Liability
Medical History
Pre-existing Condition
Treatment Protocol
Authorized Medical Personnel
Healthcare Provider
Emergency Transportation
Medical Decision
Competitive Activity
Training Session
Medical Expenses
Insurance Coverage
Reasonable Care
Medical Clearance
Confidential Information
Emergency Authorization
Medical Information Disclosure
Liability Release
Privacy and Confidentiality
Insurance Coverage
Emergency Contact
Medical History
Risk Acknowledgment
Transportation Authorization
Third Party Disclosure
Indemnification
Severability
Governing Law
Medical Decision Authority
Term and Termination
Force Majeure
Modification
Entire Agreement
Health Records Access
Sports and Recreation
Healthcare
Medical Services
Education (School Sports)
Professional Sports
Amateur Sports
Youth Sports Programs
Sports Medicine
Emergency Services
Insurance
Legal
Medical Services
Risk Management
Compliance
Operations
Administrative Services
Emergency Response
Health and Safety
Sports Administration
Sports Administrator
Team Manager
Medical Director
Sports Medicine Physician
Athletic Trainer
Compliance Officer
Risk Management Officer
Legal Counsel
Healthcare Administrator
Emergency Services Coordinator
Sports Program Director
School Athletics Director
Club Operations Manager
Safety Officer
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