Guardian Consent for Medical Treatment
I, authorize New United Missionary Baptist Church, its staff and volunteers to grant consent for medical treatment for this child in the case of an emergency during the College Tour, March 16 – March 20, 2025.
I give permission to New United Missionary Baptist Church, its staff and volunteers to share information relevant to my child’s health condition with appropriate personnel when needed to meet my child’s health and safety needs. I give permission to exchange information with my child’s physician/counselor for the purpose of referral, diagnosis and treatment. I assume all financial responsibility for medical costs arising from emergency medical care over and above costs covered by the personal insurance benefits provided by me for the child named above.
I give my permission for New United Missionary Baptist Church, its staff and volunteers to administer Acetaminophen/Ibuprofen to my child.