Medium

Available on

Apple Android Windows

Emergency Medical Treatment Waiver and Release Mobile App

The Emergency Medical Treatment Waiver and Release mobile app makes it easy to provide a waiver of liability form using a smartphone or tablet.

Designed for all types of activities, the app details the assumption of risk by the participant and includes fields for listing emergency contact details for the parent or guardians. Once the form has been completed, the participant or their parent or guardian can sign it and save it for their records.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Emergency Medical Treatment Waiver and Release Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico date

    Date

  • Ico textbox

    Name

  • Ico textbox

    Address

  • Ico textbox

    City

  • Ico integer

    Zip Code

  • Ico dropdown

    State

  • Ico integer

    Home Phone

  • Ico integer

    Work Phone

  • Ico integer

    Cell Phone

  • Ico textbox

    In case of emergency call

  • Ico integer

    Phone

  • Ico multiline

    Please list pre-existing medical conditions, such as asthma, allergies, etc.

  • Ico statictext

    I authorize emergency medical treatment for an injury if qualified medical personnel consider tre...

  • Ico textbox

    Company Name

  • Ico textbox

    Insurance Company

  • Ico textbox

    Insurance Carrier

  • Ico integer

    Policy Number

  • Ico signature

    Signature

  • Ico date

    Date

  • ...and More!

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