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Medical Concent Forms for Parents
LEAVING TOWN?
As a parent, one of your primary concerns while you’re away on business or pleasure is childcare. If your child becomes ill or injured during your absence, you want to be sure that he/she will get the proper care.
Indiana University Health Bloomington Hospital provides a free pre-consent for emergency care form for you to complete before you leave town. It will help ensure that if an emergency arises, your child will receive the needed medical treatment. It also allows you to share health care contacts with those caring for your child. If you do not wish to download and print the pre-consent for emergency care form from this Web site, you may also visit our Emergency Department and pick one up.
The form includes areas to list allergies, physician and preferred surgeon information, as well as health insurance details and explanation of chronic illnesses.