This Printable Business Form Template belongs to these categories: medical
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Medical Release Form
In case of emergency, I grant consent to {name} to authorize medical care for my minor child/children:
Our family doctor is: ____________________________
The hospital we use is: ____________________________
Allergies:____________________________
Contact me immediately at: ____________________________
Alternative contact name and number: ____________________________
Signature: ____________________________
Name: ____________________________
Address: ____________________________
Phone: ____________________________
Date: ________________
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This Printable Business Form Template is available to download for free, or you can download the entire collection for only $199.
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