Medical Treatment

Consent for Medical Treatment

     In the event that my child becomes ill or is injured while under the school 
Supervision, I authorize the school to take the following steps:

1. Contact a parent or legal guardian of the student and follow
his or her instructions.
2. In the event of an emergency when a parent or guardian can not
be reached immediately, the school authorities are hereby authorized
to use their best judgment in contacting a properly licensed physician
or in transporting my child to the nearest medical treatment center for
consultation and treatment. Such transportation is to be done by 
school provided transportation or, if school officials deem it wise,
by ambulance.
3. If, in the opinion of a properly licensed and practicing physician, my
child needs medical or surgical services which require consent before
being supplied, and I can not be reached, I hereby authorize, appoint,
and empower the principal or his designated representative, to furnish
on my behalf such written or oral authorization as may be so required.
     I release the principal or his/her designated representative and Covenant Baptist
Academy from any liability which might arise as the result of medical service
and treatment provided by any hospital or physician pursuant to such
authorization, it being my desire that my child be furnished with such medical
or surgical services as soon as possible after the need arises.
     I agree to be responsible for my cost of medical service or treatment to my
child or children as the result o the above authorization and agree to indemnify and hold harmless Covenant Baptist Academy, the principal, or his/her
representative from any expense incurred for said treatment of services.

_______________________ ____________
( Parent/Guardian ) ( Date )

______________________________ ____________
( Parent/Guardian ) ( Date )

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