Charlotte North Carolina Permission To Provide Medical Or Surgical Care

State:
Multi-State
City:
Charlotte
Control #:
US-PRM-33
Format:
Word; 
Rich Text
Instant download

Description

This is a form signed by an athlete or activities participant granting permission for the entity or institution for whom the individual is playing or participating to provide emergency medical treatment or surgical care as needed, as well as releasing any medical information to any third parties.

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Charlotte North Carolina Permission To Provide Medical Or Surgical Care