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Rev. 7/14 LEISURE EDUCATION EMERGENCY INFORMATION LED PROGRAM# NW SRA PROGRAM LEADER SCHOOL Students who DO NOT have photo permission: 1. 2. 3. 4. 5. 6. TEACHER Students who are seizure prone: 1.
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How to fill out emergency information sheet
How to fill out emergency information sheet:
01
Start by gathering all necessary personal information such as full name, date of birth, and contact details including phone numbers and email addresses.
02
Include any relevant medical information such as allergies, chronic illnesses, or medications currently being taken.
03
Provide emergency contact information for at least two individuals who can be reached in case of an emergency. Include their names, relationship to you, and their contact phone numbers.
04
Include important details about your health insurance coverage, including the name of the insurance provider and the policy number.
05
If applicable, provide any information about your primary healthcare provider, including their name, contact information, and any relevant medical history.
06
Consider including information about any specific healthcare preferences or advanced directives, such as a living will or a do-not-resuscitate order.
07
Review the completed emergency information sheet for accuracy and completeness. Make sure all necessary information is included.
08
Keep a copy of the emergency information sheet in a safe and easily accessible place, such as a wallet or glove compartment, and provide a copy to any individuals who may need it in case of an emergency.
Who needs an emergency information sheet:
01
Anyone who has a chronic illness or medical condition that may require immediate attention or knowledge in an emergency situation.
02
Individuals who take regular medications or have allergies that could potentially have life-threatening consequences.
03
People who often engage in high-risk activities or work in hazardous environments where the likelihood of emergencies is higher.
04
Children and elderly individuals who may not be able to communicate their medical history or emergency contact information accurately in an emergency situation.
05
Individuals who frequently travel or live alone, where there may be a heightened need for emergency information to be readily available in case of an accident or medical emergency.
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What is emergency information sheet?
The emergency information sheet is a document that contains important details about how to contact someone in case of an emergency.
Who is required to file emergency information sheet?
The emergency information sheet must be filed by individuals or organizations responsible for the safety and well-being of others, such as schools, businesses, and event organizers.
How to fill out emergency information sheet?
To fill out the emergency information sheet, provide contact information for designated emergency contacts, details of any medical conditions or allergies, and any special instructions for emergency responders.
What is the purpose of emergency information sheet?
The purpose of the emergency information sheet is to ensure that essential information is readily available in case of an emergency, to facilitate quick and effective response.
What information must be reported on emergency information sheet?
The emergency information sheet must include contact details for designated emergency contacts, information on any medical conditions or allergies, and any special instructions for emergency responders.
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