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Confidential Emergency Care/504 Plan 20152016 School: Grade: Teacher: Student Name: DOB: Diagnosis: Seizures Rides Bus Yes # No Address: Emergency Contact Relationship to Student Primary Work Phone
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How to fill out confidential emergency care504 plan

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How to fill out confidential emergency care504 plan:

01
Start by obtaining a copy of the confidential emergency care504 plan form. This form is usually provided by the school or organization responsible for the care and support of individuals with disabilities.
02
Begin by filling out the top portion of the form, which typically requires basic information such as the student's name, date of birth, and contact information.
03
Move on to the section that asks for emergency contact information. Provide the names, phone numbers, and relationships of at least two individuals who can be reached in case of an emergency.
04
The next section usually requires details about the student's medical condition or disability. This may include information about any allergies, medications, medical equipment, or specific care needs. It is important to be thorough and accurate in providing this information, as it will guide the responders in providing appropriate care.
05
If applicable, there may be a section dedicated to listing any specific accommodations or provisions that should be made in emergency situations. This could include instructions for administering medication, using medical devices, or any other special requirements.
06
In some cases, there may be space provided for additional notes or instructions. Use this section to provide any other relevant information that may assist in the care of the individual during emergencies.
07
Once you have completed filling out the form, review it carefully to ensure that all information is accurate and up to date.
08
Finally, sign and date the form to indicate that you have completed it.
09
Keep a copy of the filled-out confidential emergency care504 plan for your records and provide a copy to the appropriate parties such as the school nurse, teachers, caregivers, and any other individuals involved in the care of the individual.

Who needs confidential emergency care504 plan:

01
Students with disabilities or medical conditions that may require special care or assistance during emergency situations.
02
This plan is especially important for individuals who may have specific medical needs, require medication, specialized equipment, or have allergies that could potentially result in medical emergencies.
03
The confidential emergency care504 plan helps ensure that the necessary information is readily available to first responders, school staff, and any other individuals responsible for the well-being and safety of the individual in need.
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A confidential emergency care504 plan is a document that outlines specific instructions and procedures to be followed in case of a medical emergency for individuals with special needs, such as allergies or chronic conditions.
Parents or guardians of individuals with special needs who require emergency care at school or other public settings are required to file a confidential emergency care504 plan.
Confidential emergency care504 plans can be filled out by providing detailed information about the individual's medical condition, emergency contact information, medications, allergies, and specific instructions for emergency responders.
The purpose of a confidential emergency care504 plan is to ensure that individuals with special needs receive appropriate and timely care in case of a medical emergency, by providing detailed instructions and information to emergency responders and caregivers.
Information that must be reported on a confidential emergency care504 plan includes the individual's medical history, current medications, allergies, emergency contact information, and specific instructions for emergency responders.
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