CENTRAL TEXAS CHRISTIAN SCHOOL Emergency Medical Release Form
In case of accident, illness, or other emergency, I/we request that I/we be contacted. If I/we cannot be reached after conscientious effort, I/we give permission for a CTCS or SLU sponsor to call paramedics or attempt to contact listed physician or dentist first. If a life-threatening emergency exists, I/we give permission for a CTCS or SLU sponsor to call paramedics immediately and then contact me/us as soon as possible thereafter.
I/we authorize and consent to any X-ray examination, anesthetic, medical, dental, or surgical treatment, and hospital care which, in the best judgment of a licensed physician or dentist, is deemed advisable. I/we agree to assume the financial responsibility for expenses incurred as a result of those services being provided. I/we also agree to be financially responsible for emergency medical transportation.