Emergency Form for Student Visits


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PARENT/GUARDIAN INFORMATION



IF I CANNOT BE REACHED, PLEASE CONTACT MY DESIGNATED ALTERNATE



IMPORTANT HEALTH INFORMATION CONCERNING MY CHILD


Please send any necessary medications to the divisional office in their original prescription container with signed, written instructions and permission for OES staff to assist your child.

If the school is unable to reach me or the person named above, I hereby authorize Oregon Episcopal School, at my expense, to call an ambulance, take my child to a physician of their choice, and to consent to any examination, anesthetic, diagnostic, medical, dental, or surgical treatment deemed necessary. This permission is in effect for the duration of my child’s visit to OES.

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