2017 Emergency Medical Treatment Form

2017 Emergency Medical Treatment Form

KIS Summer Camp Medical Form Create a HIPAA Compliant 2017 Emergency Medical Treatment Form today. Form Preview
  • For non-KIS students, it is important to complete this form. For KIS students, if you have any update about your child medical treatment, please kindly complete the form.

  • PARENTS' DATA

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  • STUDENT'S HEALTH CONDITIONS

  • STUDENT'S ALLERGIES

  • MEDICATION

  • All medications must be handed directly to our school nurse at the nurse room with clear instructions. All medications required to take during staying in School will require to be administered by school nurse.

  • EMERGENCY CONTACT

    In case of medical emergency, please provide the names of two individuals to call when parents cannot be reached.

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  • In the event that my child becomes ill or is involved in an accident and I cannot be reached, I authorize KIS International School personnel or chaperones to obtain the necessary medical treatment. I accept responsibility for any necessary expense incurred in such medical treatment.

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