Medical Information Form and Authorization for Medical Care

Document Description: 

All minor program/activity participants and their parent/guardian should complete the Medical Information Form and Authorization for Medical Care. If your program plans to utilize the University Health Center, their policy requests this signed form and a copy of the student’s health insurance card to treat.  No changes should be made to this form. If you have any questions, please contact programsforminors@uga.edu or Brian Stone at 706-542-7255.