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I hereby authorize the Administrator, or person designated by the Administrator, to obtain emergency medical care for my teen(s) in the event such care is indicated. I give my permission for my teen(s) to receive emergency medical care by any nurse, doctor, paramedic or member of a medical staff of a hospital licensed by the State of New York. I understand that every effort will be made to notify a parent/guardian prior to treatment. I certify that my teen(s) is(are) in good physical health and up to date on vaccinations.