EVFC Players Medical Form

EVFC Player’s Medical Form

English Veterans FC

EVFC PLAYER MEDICAL INFORMATION FORM

Confidentiality

The information provided on this form will be stored securely and treated as confidential. Access will be limited to medical professionals and authorised EVFC staff and associated personnel involved in veteran football, solely for the purpose of supporting your health, safety, and welfare needs in relation to your participation in football games and associated activities.

Team

First Name

Surname

Date of Birth

Address

Postcode

Mobile

Full Name

Relationship

Mobile

Do you have any medical condition or concern that you feel we should be aware of?

YES NO

If YES - Please give details

Any prescribed medication taken relevant to you attending matches?

YES NO

Please include the medication, noting the condition it is for and if you will have it with you for example: a spray for asthma.

Do you have any allergies? (include any - food, skin irritants, and allergies to medication)

YES NO

If YES - Please give details

Consent for Emergency Medical Treatment

I give my consent for EVFC and its authorised staff, volunteers, first responders, and medical professionals to act on my behalf in the event of an emergency medical situation arising during my participation in veteran football or associated activities. This may include the administration of first aid and/or any medical treatment considered necessary by a qualified medical practitioner or trained first responder. I understand that, in such circumstances, all reasonable steps will be taken to ensure my health, safety, and welfare.

Medical Information Updates

I understand that it is my responsibility to inform and update the EVFC management team of any changes to my medical condition, prescribed medication, emergency contact details, or allergies that may affect my participation in Veterans’ football or associated activities.

Any Additional Information

Player Signature

Print Full Name

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