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This form collects emergency and medical information for youth participating in activities at Bethlehem Lutheran Church, to ensure proper care in case of emergencies.
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How to fill out Bethlehem Lutheran Church Emergency Information and Medical Form

01
Start by reading the instructions on the form carefully.
02
Fill out the child's name in the designated area.
03
Provide the date of birth and any known allergies.
04
Enter emergency contact information, including a primary and secondary contact.
05
Include the insurance information if applicable.
06
Provide the address and contact number of the child's primary care physician.
07
Complete the section on medical conditions or medications the child is currently taking.
08
Sign and date the form at the bottom to confirm the information is accurate.

Who needs Bethlehem Lutheran Church Emergency Information and Medical Form?

01
Parents or guardians of children participating in Bethlehem Lutheran Church activities.
02
Church staff and volunteers who require emergency information for events.
03
Medical personnel who may need access to health information in case of an emergency.
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The Bethlehem Lutheran Church Emergency Information and Medical Form is a document that collects essential medical and emergency contact information for individuals participating in church activities.
All participants, including children, youth, and adults involved in church programs and activities, are required to file the Bethlehem Lutheran Church Emergency Information and Medical Form.
To fill out the form, individuals must provide accurate personal information, including medical history, emergency contacts, and any relevant health conditions or allergies, ensuring that all fields are completed as instructed.
The purpose of the form is to ensure that church leaders have immediate access to critical medical information and emergency contacts in case of an incident or medical emergency during church events.
Essential information that must be reported includes personal identification details, emergency contact names and phone numbers, medical history, current medications, allergies, and any specific medical conditions.
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