TO GRANT CONSENT Sample Clauses
TO GRANT CONSENT. In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for (1) the administration of any treatment deemed necessary by above named doctors, or in the event the designated preferred practitioner is not available, by another licensed physician or dentist; and
TO GRANT CONSENT. In case of an emergency involving the above-named student, Shorin Ryu Karate Academy, LLC will make reasonable attempts to contact the following: Parent/Guardian: 1. / Parent/Guardian: 2. / Nearest Relative: 1. / Nearest Relative: 2. / In the event that reasonable attempts were made to contact the parent, guardian, or nearest relative listed above, I hereby give my consent for the administration of any treatment deemed necessary by: NAME TELEPHONE Family Physician: / Family Dentist: / This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists, concurring in the necessity for such surgery are obtained before the surgery is performed. Facts concerning the child’s medical history, including allergies, medications being taken and/or any physical impairments to which a physician should be alerted are as follows: