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Emergency Medical Treatment Authorisation Form
"Need an Emergency Medical Treatment Authorisation Form for a sports academy with 50+ minor students, including specific provisions for allergies and pre-existing conditions, and ensuring compliance with both educational and healthcare regulations."
1. Patient Information: Full legal name, date of birth, address, NHS number, and other identifying information
2. Emergency Contact Details: Primary and secondary emergency contacts with full contact information including relationship to patient
3. Medical History Summary: Essential medical conditions, allergies, current medications, and relevant medical history
4. Consent Declaration: Express authorization for emergency medical treatment including scope of consent and acknowledgment of risks
5. Healthcare Provider Details: Information about authorized medical providers and healthcare facilities
1. Advance Decisions: Specific treatment preferences or restrictions, including any pre-existing advance directives
2. Religious/Cultural Considerations: Specific religious or cultural requirements that may affect treatment decisions
3. Power of Attorney Details: Information about appointed medical decision-makers and their scope of authority
1. Schedule A - Detailed Medical History: Comprehensive medical history including past surgeries, conditions, and treatments
2. Schedule B - Current Medication List: Complete current medication schedule including dosages and frequencies
3. Schedule C - Insurance Information: Health insurance details, policy numbers, and coverage information
4. Schedule D - Supporting Medical Documentation: Relevant medical reports, test results, and other supporting documentation
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