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DIOCESE OF OAKLAND HUMAN RESOURCES DEPARTMENT 2121 Harrison Street Oakland, CA 94612 D1 EMPLOYEE INFORMATION FORM NAME: ADDRESS: CITY BIRTH DATE: HOME PHONE: (SSN: HIRE DATE: DEPARTMENT: CELL PHONE:
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How to fill out emergency contacts physician:

01
Begin by gathering all necessary information about your emergency contacts. This includes their full name, relationship to you, phone number, and any additional contact information such as an email address.
02
On the emergency contacts form, locate the section where you are asked to provide details about your physician. This is typically labeled as "Physician Information" or something similar.
03
Fill in the necessary information about your physician. Include their full name, contact number, and any additional details that may be relevant, such as their specialty or clinic/hospital name.
04
If there is a designated space for providing additional emergency contacts, make sure to include them as well. It's important to have multiple options in case your primary physician is unavailable in an emergency situation.
05
Double-check all the information you have provided to ensure accuracy. Mistakes or incorrect contact information can hinder the effectiveness of emergency communication.
06
Once you are satisfied with the information provided, sign and date the form if required. This signifies that the information is accurate to the best of your knowledge.
07
Make copies of the completed emergency contacts physician form for your records and any relevant parties who may need the information, such as your primary care physician or family members.

Who needs emergency contacts physician?

01
Having emergency contacts physician is essential for everyone, regardless of age or health status. Accidents and unexpected medical emergencies can happen to anyone, so it's important to be prepared.
02
Individuals with chronic medical conditions or those who require specialized care may benefit even more from having an emergency contacts physician. In cases where specific medical information or instructions are necessary, having a designated physician can ensure prompt and accurate medical attention in an emergency.
03
Parents/guardians of children should also have emergency contacts physician information readily available. Children can be more vulnerable to accidents and illnesses, and having a trusted physician's contact information can help facilitate prompt medical care.
04
Older adults may face a higher risk of medical emergencies, making it crucial for them to have an emergency contacts physician. Age-related health conditions or chronic illnesses may require immediate medical attention, and having a designated physician can help ensure tailored care in urgent situations.
05
Even individuals who consider themselves to be in good health should have an emergency contacts physician. It's better to be prepared and have a designated medical professional who can be contacted in case of an emergency, rather than scrambling to find someone in a time-sensitive situation.
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Emergency contacts physician refers to the designated healthcare provider that should be contacted in case of a medical emergency.
All individuals are required to provide emergency contacts physician information for their own safety and well-being, as well as for the safety of others around them.
To fill out emergency contacts physician, individuals need to provide the name, contact information, and relationship to the emergency contact.
The purpose of emergency contacts physician is to ensure that medical professionals can quickly contact a designated healthcare provider in case of a medical emergency.
The information reported on emergency contacts physician typically includes the name, phone number, and relationship to the individual of the designated healthcare provider.
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