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Huntington Beach Union High School District Emergency Information / Volunteers in Public Schools Westminster High School For Office Use: TB DATE: AUTO INS: Other: Dept. /Group: Advisor: Date: Volunteer

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How to fill out emergency information form

How to fill out emergency information form?

01

Start by providing your personal information. This includes your full name, date of birth, address, and contact information such as phone number and email address. It is important to ensure that this information is accurate and up to date.

02

Next, provide details about your emergency contacts. Include the names, relationships, phone numbers, and any additional relevant contact information for individuals who should be notified in case of an emergency. Make sure to choose people who can be easily reached and are familiar with your situation.

03

Provide your medical information. This could include any pre-existing medical conditions, allergies, medications you are currently taking, and any special instructions or requirements in case of an emergency. This information will help medical professionals provide the appropriate care in case of an emergency.

04

Indicate any specific instructions or preferences you may have during an emergency. For example, if you have a preferred hospital or healthcare provider, you can mention it here. You can also include any additional information that you think may be helpful for emergency responders to know.

05

Lastly, review all the information provided and make sure it is accurate and complete. Double-check contact numbers, spellings, and any other crucial details. It is important to keep this emergency information form up to date, so make sure to update it whenever there are any changes in your personal or medical information.

Who needs an emergency information form?

01

Individuals with medical conditions: People with medical conditions such as allergies, asthma, epilepsy, diabetes, or heart conditions should have an emergency information form. This enables medical professionals to get accurate and immediate information, ensuring suitable and timely care.

02

Parents or guardians: Parents or guardians of minors or individuals with disabilities should fill out emergency information forms. This allows them to provide essential information to schools, childcare centers, or other institutions responsible for the care of their children or dependents.

03

Caregivers: Caregivers who are responsible for the well-being of others, whether it is for an elderly person, someone with special needs, or a hospitalized individual, should also keep an emergency information form. This ensures that they have all the necessary information in case of an emergency situation.

Remember, emergency information forms are crucial in providing accurate and timely care during emergency situations. It is important to fill them out accurately and keep them up to date to ensure the safety and well-being of yourself or your loved ones.

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