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This form is used for collecting emergency medical and contact information from participants traveling with LaGrange College. It ensures the college has the necessary details for medical emergencies
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How to fill out LaGrange College Travel Emergency Medical and Contact Information

01
Obtain the LaGrange College Travel Emergency Medical and Contact Information form from the college website or the administrative office.
02
Fill out the personal details section, including your full name, date of birth, and student ID number.
03
Provide your emergency contact information, including the name, relationship, and phone number of at least one contact person.
04
List any medical conditions or allergies you have that may require attention during travel.
05
Include details of your primary physician or healthcare provider, including their name and contact number.
06
Review the completed information to ensure all sections are filled out accurately.
07
Submit the form to the designated office or online portal as instructed by the college.

Who needs LaGrange College Travel Emergency Medical and Contact Information?

01
All students participating in college-sanctioned travel activities or programs.
02
Faculty and staff accompanying students on travel-related events.
03
Anyone who may require emergency medical information while traveling on behalf of LaGrange College.
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LaGrange College Travel Emergency Medical and Contact Information is a document that collects essential medical and contact details for individuals traveling on behalf of the college to ensure their safety and well-being in case of emergencies.
All students, faculty, and staff who are traveling on behalf of LaGrange College are required to file the Travel Emergency Medical and Contact Information.
To fill out the form, individuals must provide personal information including their name, emergency contacts, medical history, allergies, and any medications they are currently taking.
The purpose of the Travel Emergency Medical and Contact Information is to ensure that appropriate medical care can be obtained quickly in an emergency and that relevant contacts are aware of the individual's situation.
The information that must be reported includes personal identification details, emergency contacts, medical history, allergies, current medications, and any other relevant health information that may be needed in an emergency.
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