MEDICAL AUTHORIZATION – School Year 2024-2025
In case of an accident or serious illness , the school will attempt to contact me . If the school is unable to reach me , I authorize the school to contact our physician and follow his / her instructions . If unable to contact our family physician , I understand my child will be transported to the nearest hospital for emergency care and treatment .
I understand it is my responsibility to update the school on information and contact changes .
I have access to the school ' s Parent-Student Handbook which outlines medical and non-medical policies and procedures .
Student Name ( s ) 1 ) ________________________________________________ 2 ) ________________________________________________ 3 ) ________________________________________________
__________________________________________________ Parent / Guardian Name ( Please Print )
__________________________________________________ Parent / Guardian Signature
________________ Date
19 | P a g e