Get the free Student Intake and Emergency Information Form - stmartin

This document collects personal and emergency contact information from students, along with necessary health and immunization details to ensure proper medical care can be provided in case of emergencies.

How to fill out student intake and emergency

How to fill out Student Intake and Emergency Information Form

1. Begin by entering the student's full name at the top of the form.
2. Fill in the student's date of birth and contact information, including address, phone number, and email.
3. Provide information on the student's parent's or guardian's details, such as name, contact number, and relationship to the student.
4. Fill out emergency contacts, ensuring that at least two backup contacts are listed with their phone numbers.
5. Specify any medical conditions or allergies the student has.
6. Indicate any special needs or educational accommodations required for the student.
7. Review all information for accuracy and completeness before submitting the form.

Who needs Student Intake and Emergency Information Form?

1. Any student enrolling in a school or educational program.
2. Teachers and administrative staff who require emergency information for student safety.
3. Emergency responders who may need crucial information about a student in case of an emergency.

People Also Ask about

What information should my emergency contact have?

The ideal emergency contact is able to talk to medical professionals about medical history, allergies, chronic conditions, and current medications. In some cases, they even make medical decisions for their loved one.

How do you write emergency contact information?

This form typically includes the contact person's name, relationship to the individual, phone number, address, and other crucial details. The purpose of an Emergency Contact Form is to provide quick and easily accessible information to emergency responders or medical personnel in the event of an emergency.

What is an emergency information?

emergency information means information relevant to the safety and welfare of recipients in the event of an Emergency. Such information shall include but not be limited to instructions and directions to alleviate or avoid the impact of an emergency.

What is an emergency card for school?

The Emergency Information Record Cards include information such as Name, Address, Important Phone Numbers, Physician Names and Phone Numbers, Allergies and Medical Conditions. A must have for any school or facility which houses children.

How do I mark a contact as an emergency contact?

1:01 3:02 You then press the edit. Button. And you then press add members. You can add whatever contacts inMoreYou then press the edit. Button. And you then press add members. You can add whatever contacts in your phone that you feel should be contacted in a case of an emergency. You then press done.

What to put down for emergency contact?

When choosing your emergency contact, consider family members or friends who live locally and who you trust to make hard decisions on your behalf. Make sure your emergency contacts know where to access your health history, your healthcare providers' contact information, and your wishes for certain treatments.

How to write emergency contact information?

An emergency contact form should include the individual's full name, phone number, email, relationship to the emergency contact, and any critical medical information like allergies or chronic conditions.

For pdfFiller’s FAQs

What is Student Intake and Emergency Information Form?

The Student Intake and Emergency Information Form is a document used by schools and educational institutions to collect important information about students, including personal details, emergency contacts, and medical information.

Who is required to file Student Intake and Emergency Information Form?

Typically, all new students enrolling in a school or educational program are required to file the Student Intake and Emergency Information Form.

How to fill out Student Intake and Emergency Information Form?

To fill out the Student Intake and Emergency Information Form, provide accurate personal information, fill in emergency contact details, and disclose any relevant medical information as requested.

What is the purpose of Student Intake and Emergency Information Form?

The purpose of the Student Intake and Emergency Information Form is to ensure that the school has the necessary information to address students' needs and to respond effectively in case of emergencies.

What information must be reported on Student Intake and Emergency Information Form?

The information that must be reported includes student’s name, date of birth, address, parent's or guardians' contact information, emergency contacts, and any pertinent medical conditions or allergies.