Medical Treatment Authorization for Minors
As part of the administration of your program, you should require a "Medical Treatment Authorization for Minor" form for participants in your program.
This form should be readily accessible in the event medical treatment is necessary. If a program participant requires medical services, CALL 911 for emergency medical services. However, if an ambulance is not required, Purdue Student Health Services (PUSH) has board-certified physicians and nurse practitioners on staff to provide care Monday-Friday: 8:00am-5:00pm. PUSH is located at 601 Stadium Mall Drive, West Lafayette, IN 47907. For more information, visit their website https://www.purdue.edu/push/ or call (765) 494-1700.
The medical director of PUSH has asked that you be certain to bring the "Medical Treatment Authorization for Minor" form along any time treatment is sought for a program participant at PUSH. If you have a medical history form for the child, please bring that as well.
Please email questions to firstname.lastname@example.org.
Medical Treatment Authorization for Minor Form
- Youth Safety
- Procedures for Programs Involving Minors
- Youth Safety Guidelines
- FAQs for Programs Involving Minors
- Training on Youth Safety
- Transporting Minors
- Residence Hall Safety
- Campus and Facility Safety
- Camp/Conference Insurance
- Bullying Awareness
- Protecting Minors on Campus Video
- Medical Treatment Authorization for Minors