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Childcare - Authorisation To Treat A Minor (Australia) Mobile App

DEsigned for Childcare, Daycare, Preschool and Play schools this app records all the vital medical information including GP or surgery details, preferred hospital, health insurance and more. Easily amend to capture any other details your facility requires.

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

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Take a peek inside the Childcare - Authorisation To Treat A Minor (Australia) Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

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

  • Ico date

    This consent shall remain effective until

  • Ico textbox

    I (we) the undersigned parent, parents or legal guardian of

  • Ico statictext

    a minor, do hereby authorise and consent to any x-ray examination, anesthetic, medical or surgica...

  • Ico multiline

    List any restrictions:

  • Ico date

    Child’s Birth Date:

  • Ico date

    Last Tetanus Booster:

  • Ico textbox

    Allergies to Drugs or Food:

  • Ico textbox

    Any Special Medications or Pertinent Information:

  • Ico textbox

    Preferred Hospital:

  • Ico textbox

    Telephone

  • Ico textbox

    Child’s regular GP

  • Ico integer

    Surgery Address

  • Ico textbox

    Suburb

  • Ico dropdown

    State

  • Ico integer

    Postcode

  • Ico textbox

    Surgery Contact Number

  • Ico textbox

    Private Health Insurance Provider

  • Ico signature

    Father Signature

  • Ico date

    Date

  • Ico signature

    Mother Signature

  • Ico date

    Date

  • Ico signature

    Legal Guardian Signature

  • Ico date

    Date

  • ...and More!

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