emergency release form examples

Emergency Release Forms are used mainly to preserve the health and safety of children or minors. They contain a minor’s health information, consent, acknowledgement, and release statements from the parents or legal guardians that would allow a company or organization to facilitate a child’s medical treatment in their absence. It is important for any organization to be prepared for any emergencies since we never really know when they occur. However, when hosting events or activities that impose risks on a child’s health and safety, you would know that the need for Emergency Release Forms is very high.

That being said, the availability of Emergency Release Forms online is high due to this increasing need. We have provided an array of samples for you to browse and download. You may use these samples as your own or as a basis for making your own forms. They come mostly in PDF and Word formats.

Medical Emergency Release Forms

Emergency Training Medical Release Form

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  • PDF

Size: 220 KB

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Medical Emergency Release Form for Minor Child

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Size: 4 KB

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Emergency Medical Treatment Form Sample

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Size: 15 KB

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Emergency Medical Authorization Form

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Size: 39 KB

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Emergency Blood Release Forms

Emergency Blood Product Release Form

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Size: 106 KB

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Approval of Emergency Blood Release Form

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Size: 130 KB

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Emergency Blood Release Form Sample

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  • PDF

Size: 180 KB

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What Is a Release Form?

Understanding the essence of an Emergency Release Form entails the basic understanding of what a Release Form is. A Release Form is used by organizations, like schools and businesses, so that they can be released from legal and financial liabilities in the future. There are basically two parties involved in a Release Form – the releasee and the releasor. The releasee is the school or business being released from legal liabilities. The releasor is the individual who is giving up his rights to sue and make claims in the future. In the case of an Emergency Release Form, the releasee would be parents or legal guardians, or a physician in some types.

Importance of Emergency Release Forms

Legal Liabilities: Releasing a company from legal or financial liabilities that might entail certain activities or procedures is one of the main purposes of an Emergency Release Form. This ensures business continuity, because legal proceedings can be very costly and time-consuming. This can cause a disruption of the daily operation of the business or cause a decline in profitability. When your company is also constantly being sued, this can affect your company’s reputation, which would also directly affect brand loyalty and advocacy. For promoting brand loyalty and advocacy, a company can also hold events, and Event Proposal Forms can be used to ensure the success of such events.

Child Health and Safety: An Emergency Release Form is also mainly used for ensuring the health and safety of children in schools and universities, and when participating in various events and activities. Parents and legal guardians are not always available whenever an emergency occurs, so it is important that a Consent to Treat Form is signed so that if a parent or legal guardian cannot be reached, the child can still be administered treatment. A school is a child’s second home, so it is important that every child should feel safe in their school.

Record Keeping: Emergency Release Forms are formatted uniquely and labelled according to their type or purpose. That way, they are easier to organize and access when they are needed in the future. These forms are also properly divided into various subsections so that information is properly organized and it is easier for users to fill them out. It is important to keep the information on an Emergency Release Form updated, so whenever there are any changes to the information, it is the parent or legal guardian’s duty to inform or notify the school.

School Emergency Release Forms

Free Medical Release Form

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  • PDF

Size: 147 KB

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Emergency Information and Student Release Form

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  • PDF

Size: 11 KB

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Visitor Emergency Release Form

Visitor Emergency Release Form in PDF

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  • PDF

Size: 57 KB

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Emergency Release Authorization Forms

Medical Care Authorization Emergency Form

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  • PDF

Size: 26 KB

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Consent for Emergency Treatment Release Form

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Size: 34 KB

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Free Emergency Release Authorization

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Size: 138 KB

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Emergency Release Form Sample

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Size: 202 KB

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Emergency Room Release Forms

Hospital Emergency Room Form

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Size: 33 KB

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Free Emergency Medical Release Form

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Size: 105 KB

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Authorization to Release Information Form

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Size: 571 KB

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Medical Emergency Release Forms

This is one of the main types of Emergency Release Forms. This is used by schools, sports organizations, and youth organizations to facilitate the medical treatment of a minor or child under the age of 18 in the absence of his parents or legal guardians. Parents can also leave a Medical Emergency Release Form with a babysitter if they are to go on a long vacation or are going to be away for a while. It should be stipulated on the form that every effort should be done to contact the parents or legal guardians, or any other alternate contact persons, before the school is allowed to facilitate the medical treatment of the child.

This Release Form gives the releasee the authority to facilitate the child’s medical treatment, which includes transporting the child to a medical care facility using an ambulance, admitting the child to a medical care facility, and administering anesthesia or medication as necessary. You may also see our samples of Child Medical Consent Forms, which serve the same purpose as a Medical Emergency Release Form.

Since the parents would have to be contacted first, it is also good and advisable to have the parents or legal guardians fill out an Emergency Contact Form. This will allow better record-keeping of the contact numbers of the parents or legal guardians, and any alternate contact persons.

Information to Be Included on Medical Emergency Release Forms

  • Child’s personal information: This includes the child’s name and birth date at a minimum.
  • Personal information and contact details of the parents or legal guardians, and any alternate contact persons
  • Child’s health insurance information
  • Preferred medical care facility or physician: Although this will be the priority, a nearer medical care facility might be a better choice for urgent situations.
  • Child’s health information: This is where the child’s medical treatments will be based, which is why the accuracy of this information is very crucial. This includes the child’s medical history, current medications being taken, current medical conditions, and a list of any known allergies to food and medication.
  • The explicit statement of consent by the parents or legal guardians: This should also include their signatures and the current date.

Emergency Blood Release Forms

Blood banks use this form to avoid any legal liabilities whenever they release blood to be used for an emergency. This is filled out by a physician for a blood transfusion wherein the necessary tests to be done for compatibility are bypassed because of an urgent situation. This stipulates that the requesting physician understands the risks involved in transfusing blood that is not tested for compatibility. For other types of Release Forms, you may also see our Release Forms in Doc, which are in Word format and easy to edit.

Emergency Drug Release Form

Medical Release Instructions and Emergency Information Release Form

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Size: 155 KB

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Emergency Release Treatment Forms

Emergency Release for Treatment Form Sample

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Size: 3 KB

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Emergency Medical Treatment Release Form

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Size: 88 KB

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Kids Emergency Release Form

Kids Emergency Release and Acknowledgement Form

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  • PDF

Size: 155 KB

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Emergency Training Release Form

Sample Training Medical Release Form

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  • PDF

Size: 68 KB

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School Emergency Release Forms

In addition to Medical Emergency Release Forms, School Emergency Release Forms are also utilized by educational institutions and day care facilities in case of an emergency. This form provides information on where a child can be taken in the event of an emergency. It is important to note that this is not just for medical emergencies, but for other types of emergencies as well, such as natural disasters. These forms are to be filled out by new students, along with Student Information Forms.

A School Emergency Release Form contains instructions on what to do in the event of any emergency. The child can stay inside the school’s premises until picked up by the parents or legal guardians, or any other designated adult. The child can also be sent straight home, or to an alternate location for the parents or legal guardians, or any designated adult to pick him or her up. If anyone other than the parents or legal guardians will be picking up the child, a valid ID has to be presented to verify the identity of the designated adult. This will help prevent instances of kidnapping.

Emergency Drug Release Forms

This can be used in conjunction with a Medical Emergency Release Form. This Release Form specifically stipulates the consent of a parent to administer medications or over-the-counter drugs to his or her child to alleviate pain or any other symptoms resulting from physical injuries or minor illnesses. Along with this form, the child’s Medical Information Form is important, since it will contain a list of any known allergies the child has to any medication or drugs. Administering medication can be quite risky if you do not know the person’s medical history.

Authorization to Release Information Forms

This is used by medical care facilities and other entities that deal with sensitive patient health information. Along with treating someone for any medical condition, it is also one of the many responsibilities of hospitals to file a medical claim to the patient’s health insurance provider to cover for most or all of the medical expenses. Although some health insurance policies do not really cover medical expenses 100 percent of the time, it is still pretty helpful, especially since the costs for healthcare have drastically increased over the years.

The use of Authorization to Release Information Forms is done in accordance with the privacy rule of the Health Insurance Portability and Accountability Act (HIPAA), which is why these forms can also be referred to as HIPAA Release Forms.

Essential Information to be Included

  • The date of effectivity of the form or the term of the form
  • The specific kind of information to be released
  • The specific people or organization that the information will be released to
  • The name and signature of the patient, along with the current date

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