Common use of Medical Treatment Authorization Clause in Contracts

Medical Treatment Authorization. As the parent/guardian of (please print student’s name), a student participating in the Global Youth Leadership Institute, I authorize physicians and/or other medical personnel, at the direction of GYLI or my child’s/xxxx’x chaperone to provide medical care to my child/xxxx while he/she is away from home and participating in the GYLI, including examining, treating and prescribing medications for her/his care. I understand that the faculty and staff and/or the chaperone will, to the greatest extent possible, consult with me concerning the reasons for and effects of all such care. Recognizing that it may be impossible to reach me in situations in which the physicians treating my child/xxxx believe that beginning treatment is medically necessary, I authorize GYLI or the chaperone to permit commencement of treatment when, in the professional judgment of the physicians or medical personnel involved, such treatment is medically necessary, even if I/we have not yet been consulted. In authorizing such emergency treatment, I agree to accept the determination of the treating physician or surgeon that the treatment or examination rendered was medically necessary to protect the life, health or mental well-being of my child/xxxx. I give this authorization on the condition that the treating physician will attempt to contact me, if at all possible, before the treatment or examination is rendered. Signature of Parent/Guardian Date

Medical Treatment Authorization. As the parent/guardian of (please print student’s name), a student participating in the Global Youth Leadership Institute, I authorize physicians and/or other medical personnel, at the direction of GYLI or my child’s/xxxx’x chaperone to provide medical care to my child/xxxx while he/she is away from home and participating in the GYLI, including examining, treating and prescribing medications for her/his care. I understand that the faculty and staff and/or the chaperone will, to the greatest extent possible, consult with me concerning the reasons for and effects of all such care. Recognizing that it may be impossible to reach me in situations in which the physicians treating my child/xxxx believe that beginning treatment is medically necessary, I authorize GYLI or the chaperone to permit commencement of treatment when, in the professional judgment of the physicians or medical personnel involved, such treatment is medically necessary, even if I/we have not yet been consulted. In authorizing such emergency treatment, I agree to accept the determination of the treating physician or surgeon that the treatment or examination rendered was medically necessary to protect the life, health or mental well-being of my child/xxxx. I give this authorization on the condition that the treating physician will attempt to contact me, if at all possible, before the treatment or examination is renderedisrendered. Signature of Parent/Guardian Dateof

Medical Treatment Authorization. As the parent/guardian of (please print student’s name), a student participating in the Global Youth Leadership Institute2011 GLF of the UWC-USA, I authorize physicians and/or other medical personnel, at the direction of GYLI GLF of the UWC-USA or my child’s/xxxx’x chaperone to provide medical care to my child/xxxx while he/she is away from home and participating in the GYLIGLF of the UWC-USA, including examining, treating and prescribing medications for her/his care. I understand that the faculty and staff and/or the chaperone will, to the greatest extent possible, consult with me concerning the reasons for and effects of all such care. Recognizing that it may be impossible to reach me in situations in which the physicians treating my child/xxxx believe that beginning treatment is medically necessary, I authorize GYLI GLF of the UWC-USA or the chaperone to permit commencement of treatment when, in the professional judgment of the physicians or medical personnel involved, such treatment is medically necessary, even if I/we have not yet been consulted. In authorizing such emergency treatment, I agree to accept the determination of the treating physician or surgeon that the treatment or examination rendered was medically necessary to protect the life, health or mental well-being wellbeing of my child/xxxx. I give this authorization on the condition that the treating physician will attempt to contact me, if at all possible, before the treatment or examination is rendered. Furthermore, I assume full responsibility for the cost of such treatment. Signature of Parent/Guardian Date