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1. Child Information: Essential identification details including full name, date of birth, and address of the child
2. Parent/Guardian Information: Contact information for primary and secondary guardians, including emergency contact numbers
3. Medical Information: Child's health card number, primary physician details, and basic health information
4. Emergency Contacts: Alternative contacts if parents/guardians cannot be reached, including relationship to child
5. Medical Authorization: Legal authorization for emergency medical treatment and transportation
6. Liability Release: Statement releasing the facility from liability for authorized medical actions taken in good faith
7. Consent for Information Sharing: Authorization to share medical information with relevant medical personnel and staff
8. Acknowledgment and Signature: Final section for date, signatures, and witness requirements
1. Specific Medical Conditions: Detailed section for children with chronic conditions requiring special attention
2. Medication Administration: Authorization and instructions for regular medication administration, if required
3. Allergies and EpiPen Authorization: Specific section for children with severe allergies requiring EpiPen or similar interventions
4. Religious or Cultural Considerations: Special instructions regarding medical treatment based on religious or cultural beliefs
5. Insurance Information: Additional insurance coverage details beyond basic health coverage
6. Photography and Media Release: Optional authorization for documenting medical incidents or training purposes
1. Schedule A: Medical History Form: Detailed medical history including vaccinations, previous conditions, and surgeries
2. Schedule B: Medication Details: List of current medications, dosages, and administration schedules
3. Schedule C: Emergency Action Plan: Step-by-step procedures for specific medical emergencies
4. Appendix 1: Local Emergency Facilities: List of nearby hospitals and emergency care facilities
5. Appendix 2: Provincial Health Coverage Details: Information about what is covered under provincial health insurance
Healthcare Provider
Emergency Contact
Medical Treatment
Parent/Guardian
Facility
Child
Staff
Emergency Transportation
Medical Information
Personal Health Information
Authorized Representative
First Aid
Emergency Services
Health Card
Medical Personnel
Consent
Release
Liability
Treatment Authorization
Medical History
Chronic Condition
Emergency Action Plan
Healthcare Facility
Urgent Care
Emergency Contact
Liability Release
Consent
Information Sharing
Privacy and Confidentiality
Emergency Transportation
Medical Information
Treatment Authorization
Release of Liability
Indemnification
Healthcare Provider Authorization
Emergency Procedures
Medical Records
Witness Requirements
Governing Law
Severability
Amendment
Termination
Insurance
Force Majeure
Notice Requirements
Childcare Services
Education
Healthcare
Social Services
Early Childhood Education
Family Services
Emergency Services
Legal
Compliance
Operations
Administration
Enrollment
Child Safety
Risk Management
Healthcare Coordination
Emergency Response
Family Services
Daycare Director
Childcare Center Manager
Early Childhood Educator
Childcare Administrator
Healthcare Compliance Officer
Risk Management Coordinator
Legal Compliance Manager
Child Safety Coordinator
Facility Administrator
Program Director
Operations Manager
Enrollment Coordinator
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