Medical Emergency Consent Form

Archdiocese of Milwaukee Medical Information & Emergency Consent Form



Medical Information

In the event of an injury or illness I/we grant permission to any and all health care providers designated by (Designate below) to provide my/our child with any and all necessary medical care related to the injury or illness. I/we further understand I/we will be contacted as soon as practical as to the medical emergency and be provided with all the necessary information related to the medical emergency.

 
 

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