Medical Hand-Out Log
ADVERTISEMENT
1SACRAMENTO REGIONAL
MEDICAL RESERVE CORPS
JOHN MCGINNESS
SHERIFF
Date_______________
Event___________________________
Location______________________
Medical Hand-out Log
I acknowledge that I have requested a minor medical item that is readily available over-the-counter, and that I do not wish to be
examined or treated by medical personnel at this time.
#
Time
Name
City, State
Signature
Item received
Staff
)______________________________________________________
Page ___ of ___
Reviewed by (print and sign
SRMRC Form 04 rev 1
(November 2005)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical