PENN-DELCO SCHOOL DISTRICT MEDICAL AGREEMENTMedical Agreement • May 23rd, 2023 • Delaware
Contract Type FiledMay 23rd, 2023 JurisdictionTHIS AGREEMENT (“Agreement”) made this day of , 2023, between the BOARD OF SCHOOL DIRECTORS OF THE PENN-DELCO SCHOOL DISTRICT, Aston,
Camp Augusta Medical AgreementMedical Agreement • June 23rd, 2022
Contract Type FiledJune 23rd, 2022I, , on behalf of (school/organization name) agree to the following terms regarding medical treatment and care for students/youth while they are in attendance at Camp Augusta during the dates noted above.
ContractMedical Agreement • June 6th, 2018
Contract Type FiledJune 6th, 2018Annual Fees as set out below shall apply to the following Patient(s) who by signing below agree to the terms and conditions of the BRAND-NEW MED Medical Agreement Form (Only applies to individuals who are joining as members)
MEDICAL AGREEMENTMedical Agreement • April 1st, 2006
Contract Type FiledApril 1st, 2006In case of sudden illness or injury to the undersigned in any Lithuanian Scout Association, Inc. (hereinafter referred to as the Association) activity whatsoever, I hereby authorize the senior representative of the Association present to give the undersigned any and all emergency medical treatment necessary.
MEDICAL AGREEMENT with St. John’s Lutheran SchoolMedical Agreement • November 18th, 2024
Contract Type FiledNovember 18th, 2024act as an agent for me if immediate action needs to be taken on my child’s behalf. It is understood that in the final disposition of an emergency case, the judgment of the school authorities will prevail. The recommendation of the parent as indicated below will be respected as far as possible.
Medical Agreement forMedical Agreement • June 19th, 2019
Contract Type FiledJune 19th, 2019 In the case of regular administration of some medicines, eg asthma, the student may be independent and able to manage the own medicine administration. You need to notify us in writing if that is the case.
ContractMedical Agreement • August 14th, 2020
Contract Type FiledAugust 14th, 2020Medical Agreement Vendor Resource Category Dispatch Center Number Awarded 1 12034320T7235 American Medical Response Northwest, Inc. EMT, Fireline (EMTF) MT-BDC 4 DBA: American Medical Response Northwest MT-HDC 5 Approved Roster MONTANA ONLY; Paramedic, Fireline (EMPF) MT-BDC 2 EMTF; EMPF; MT-HDC 3 2 Charlton, William Wolf, Alexis 3 Hilbert, Michael EMPF; 4 Killeen, Conner Burgal, Dylan 5 Koehler, Sean Childers, Jeffrey 6 McConnell, Nathan Haworth, Charles 7 Oak, Manke Luckett, Tiffani 8 Pickett, Kale Stinson, Nicholas 9 Scheffelman, Robert 10 12034320T7253 AUTHENTIC AGENDA, INC. EMT, Fireline (EMTF) MT-BZC 2
Medical Agreement With ParentMedical Agreement • September 7th, 2017
Contract Type FiledSeptember 7th, 2017The Children’s Center cannot allow any child who is ill to enter the classroom. If a child becomes ill, the child cannot remain in the classroom. Other arrangements for care when your child is sick should be in place.
MEDICAL AGREEMENT with St. John’s Lutheran SchoolMedical Agreement • December 13th, 2021
Contract Type FiledDecember 13th, 2021In the unusual event of an emergency at school, I hereby agree to have St. John’s Lutheran School act as an agent for me if immediate action needs to be taken on my child’s behalf.
MEDICAL AGREEMENT & PERSONAL INSURANCE DETAILSMedical Agreement • June 21st, 2022
Contract Type FiledJune 21st, 2022Heart Condition, Eye Condition (eg glaucoma), Chest pains, Lower back pain, Other (eg. Joint pain), Hernia/Hiatus Hernia, High Blood pressure, Migraine, Epilepsy, Asthma, Diabetes, Neck Pain, Arthritis, Any other physical injury or mental condition that might affect your ability to train, Surgical operation (within last 5 yrs), Prescription Medication.
ContractMedical Agreement • August 14th, 2020
Contract Type FiledAugust 14th, 2020Medical Agreement Vendor Resource Category Dispatch Center Number Awarded 1 12034320T7249 American Medical Response Northwest, Inc. EMT, Fireline (EMTF) ID-CDC 15 DBA: American Medical Response Northwest Approved Roster IDAHO ONLY; Paramedic, Fireline (EMPF) ID-CDC 13 EMTF; EMPF; 2 Ambach, Josh Ambach, Jacob 3 Charlton, William Burgal, Dylan 4 Chick, George Childers, Jeffrey 5 Hilbert, Michael Haworth, Charles 6 Killeen, Conner Holmstrom, Alek 7 Kirwin, Billie Jaeger, Christina 8 Koehler, Sean Luckett, Tiffani 9 Lascheid, Adam Lytle, Clare 10 McConnell, Nathan Moyer, Steve 11 Patterson, Jerry Robinson, Jesse 12 Redwine, Jessica Shelter, Caleb 13 Scheffelman, Robert Stinson, Nicholas 14 Stepanyuk, Ruvim Swoboda, Jarrod 15 Walling, Cody 16 Wolf, Alexis 17 Zajcek, Morgan 18 12034320T7252 Front Line EMS LLC Advanced EMT, Fireline (AEMF) ID-GVC 1
Medical Agreement –Educational VisitsMedical Agreement • November 6th, 2014
Contract Type FiledNovember 6th, 2014▪ Have a nominated member of staff who will be responsible for the safe administration and storage of all medication. (Unless it is agreed that your child is to carry it)