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1. Student Information: Basic identifying information including student's full name, date of birth, grade level, and student ID
2. Parent/Guardian Information: Contact details for primary and secondary emergency contacts, including relationship to student
3. Medical History: Current medical conditions, allergies, and ongoing medications
4. Emergency Medical Authorization: Legal authorization for emergency medical treatment when parent/guardian cannot be reached
5. Primary Care Provider Information: Contact information for student's regular physician and preferred hospital
6. Insurance Information: Details of medical insurance coverage, policy numbers, and group numbers
7. Consent and Release: Legal language releasing school from liability and authorizing medical treatment
8. Privacy Notice: Statement regarding the collection, use, and protection of personal health information
9. Signature Block: Space for parent/guardian signature, date, and witness signature if required
1. Specific Medical Procedures Authorization: Additional authorization for specific medical procedures or treatments, used when student has known medical conditions requiring specific interventions
2. Mental Health Information: Section for mental health conditions and treatments, included when relevant to student's care
3. Religious Restrictions: Documentation of any religious beliefs affecting medical treatment, included when applicable
4. Transportation Authorization: Permission for emergency medical transportation, included in jurisdictions where this needs separate authorization
5. Medication Administration: Detailed instructions for regular medication administration during school hours, included when student requires medication at school
1. Schedule A - Medication List: Detailed list of all current medications, dosages, and administration schedules
2. Schedule B - Allergy Action Plan: Specific steps to be taken in case of allergic reactions
3. Schedule C - Emergency Care Protocol: Step-by-step instructions for specific medical emergencies based on student's conditions
4. Appendix 1 - Medical History Form: Detailed medical history including past surgeries, hospitalizations, and chronic conditions
5. Appendix 2 - Immunization Record: Current immunization status and records
Education
Healthcare
Emergency Services
Child Care
Youth Services
School Administration
Medical Services
Legal Services
Administration
Student Services
Health Services
Legal & Compliance
Risk Management
Emergency Response
Enrollment Services
Safety & Security
School Administrator
Principal
School Nurse
Health Services Coordinator
Enrollment Manager
Risk Management Officer
Legal Compliance Officer
Student Services Director
School District Administrator
Educational Program Director
Emergency Response Coordinator
Healthcare Administrator
School Safety Officer
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ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
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We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it