Medical History
Please answer by using Yes or No, if the student have any of the following
General Consent Form
My signing below this page agrees on providing medical services to my son/daughter.
In elite private school Clinic
My consent involves a general approval
of curative preventive services that
include physical examination,
medication administration like
(Paracetamol, application of pain killer
cream and application of antihistamine
cream and Epipen), first aid, screening
for height, weight, vision acuity and
transfer to medical center if necessary.
If my son/daughter needed to be
immediately transferred to emergency
room in my absence and absence of the
legal guardian, then authorize the school
staff to transfer him/her to the
emergency unit by an ambulance.