Medical Consent and Indemnity Form

Medical Consent and Indemnity Form

Waivers are very common especially for fitness, recreation, and sports activities. Performers or athletes can now sign the waiver online through this medical consent and indemnity form. Use this medical indemnity form to collect information from athletes like their personal information, health condition and insurance and their contact details and also allow them to sign the form digitally including their parents or guardian. For schools and providers, this medical indemnity form template is sufficient to obtain informed consent easily and conveniently from the athletes. It only takes a few minutes for a busy athlete to complete this indemnity form. Create a HIPAA Compliant Medical Consent and Indemnity Form today. Form Preview
Medical Consent and Indemnity Form Template | JotForm
  • Medical Consent & Indemnity

  • Please complete one Medical Consent and Indemnity form per Team Member travelling to Gymnaestrada

  •  -
  •  -  - Pick a Date
  • (Parent/Guardian – if under 18 years of age) hereby give permission for the Team Manager, or designated representative, to seek medical aid in the event of an accident, injury or illness. General medical aid, including transport, will be at the discretion of the Manager or designated representative.

    In addition:

    Specific permission, on appropriate medical advice is given for the following:

  • (General Note: Parents/Guardians will be contacted, if possible, prior to any medical attention being given.)

  •  -  - Pick a Date
  • Health Insurance Information

    Please complete where applicable
  • Emergency Contact Details

    Team Members are requested to list at least 1 emergency contact
  • Should be Empty: