Emergency Medical Permission Form Template for Switzerland

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Key Requirements PROMPT example:

Emergency Medical Permission Form

"I need an Emergency Medical Permission Form under Swiss law for our international school in Geneva, covering students aged 12-18, with specific provisions for school trips and sports activities, to be effective from January 2025."

Document background

The Emergency Medical Permission Form is a vital document used in Switzerland when immediate medical treatment may be necessary, but direct consent from the patient might not be possible. This document is particularly important in settings where emergency medical situations could arise, such as schools, elderly care facilities, sports organizations, or during travel. The form complies with Swiss medical law and data protection requirements, including the Federal Act on Research involving Human Beings and the Swiss Civil Code. It typically includes comprehensive patient information, medical history, emergency contacts, and specific treatment authorizations. This document is essential for healthcare providers to deliver prompt emergency care while maintaining legal compliance and respecting patient rights under Swiss jurisdiction.

Suggested Sections

1. Patient Information: Full legal name, date of birth, address, and identification details of the patient

2. Emergency Contacts: Names, relationships, and contact information for primary and secondary emergency contacts

3. Authorization Statement: Clear statement of consent for emergency medical treatment and the scope of authorization

4. Medical History Summary: Critical medical information including allergies, current medications, and existing conditions

5. Primary Healthcare Provider: Contact information for the patient's regular doctor and medical facilities

6. Insurance Information: Health insurance details and policy numbers

7. Signature Block: Date, signatures of the patient or legal representative, and witness signature

Optional Sections

1. Religious or Cultural Preferences: Specific religious or cultural considerations that may affect medical treatment, included when relevant to the patient

2. Organ Donation Preferences: Statement regarding organ donation wishes, included when the patient wishes to specify this

3. Specific Treatment Restrictions: Any specific treatments that are refused or limited, included when patient has specific restrictions

4. Translation Certificate: Certification of translation if the form is provided in multiple languages, included for non-native language speakers

5. Mental Health Treatment Authorization: Specific authorization for mental health treatment, included when mental health conditions are present

Suggested Schedules

1. Appendix A - Detailed Medical History: Comprehensive list of past surgeries, medical conditions, and treatments

2. Appendix B - Medication List: Current medications, dosages, and known drug allergies

3. Appendix C - Advanced Directives: Copies of any existing advanced directives or living will

4. Appendix D - Legal Representative Documentation: Copies of power of attorney or legal guardianship documents if applicable

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Insurance

Education

Sports and Recreation

Tourism

Elderly Care

Child Care

Corporate

Non-Profit Organizations

Emergency Services

Travel and Hospitality

Relevant Teams

Legal

Compliance

Human Resources

Risk Management

Medical Administration

Emergency Response

Safety and Security

Patient Services

Insurance Administration

Operations

Relevant Roles

Medical Director

Legal Counsel

Compliance Officer

Risk Manager

School Administrator

Human Resources Manager

Healthcare Administrator

Insurance Coordinator

Sports Facility Manager

Tour Operator

Camp Director

Elderly Care Facility Manager

Corporate Safety Officer

Medical Records Administrator

Emergency Services Coordinator

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