Minor Medical Release Form Page 4
Download a blank fillable Minor Medical Release Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Minor Medical Release Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4I understand that I will be contacted as soon as possible, in the rare case that an emergency situation
arises. If I choose, my family physician and the Camp physician in charge can consult to insure that my
child receives the best medical attention available.
Parent/Guardian Signature: ________________________________________
Date: _____________
Required if dependent is under the age of 18
Minor Signature: _________________________________________________
Date: _____________
Required if dependent is 18 or older
*Note: It is not necessary to have an examination by a physician if the camper is enrolled in a public school and has met
Texas requirements for school immunizations. Please be sure to attach a copy of the camper’s insurance card in case of an
emergency.
Any Additional Comments:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal