AUTHORIZATION FOR EMERGENCY MEDICAL CARE FORM
It is my understanding that I will be notified at once in case of accident or illness to my child, and that I will make arrangements for medical care of my child with the physician or hospital of my choice.
However, if I cannot be reached to make the necessary arrangements, or in a critical emergency requiring medical care, I hereby authorize the school for emergency treatment of my child. My preferred hospital is:
A) The director and I have agreed on a plan for continuing communication regarding my
child’s education, development, behavior, etc.
B) When my child is ill, it is understood and agreed that he/she will not be accepted into
the school. If he/she becomes ill during the day, I have agreed to arrive promptly to take him/her home.
C) I have been informed of this school’s policies pertaining to the admission, education, care, and discharge of children.