Get the free EMERGENCY INFORMATION FORM - Ascension Catholic Church

Ascension School 601 W. Van Buren St. Oak Park, IL 60304 EXTENDED DAY PROGRAM EMERGENCY INFORMATION FORM 20152016 Oldest Child (Last Name) (First Name) (Grade) (Allergies) Siblings: (First Name) (Grade)

How to fill out emergency information form

How to fill out an emergency information form:

1. Start by entering your personal details such as your full name, contact number, and address.
2. Provide your emergency contact information, including names, phone numbers, and their relationship to you.
3. Indicate any medical conditions or allergies you have, ensuring to include any necessary medications or treatments.
4. Specify your primary healthcare provider and their contact information.
5. Note any specific instructions or preferences for emergency responders, such as your preferred hospital or any existing medical documents they should be aware of.
6. If applicable, include information about your insurance coverage and policy number.
7. Finally, sign and date the form to confirm its accuracy.

Who needs an emergency information form?

1. Individuals with chronic or serious medical conditions who may require emergency medical treatment.
2. Elderly individuals or those with disabilities who may need assistance during emergencies.
3. Parents or guardians filling out the form for their children to ensure their safety at school or other supervised activities.
4. People who frequently travel or engage in adventurous activities where emergencies are more likely to occur.
5. Employees or students required by their organizations or institutions to have emergency information on file.

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What is emergency information form?

The emergency information form is a document that contains vital information about an individual's emergency contacts, medical history, and any specific needs or requirements in case of an emergency.

Who is required to file emergency information form?

Anyone who wants to ensure that relevant parties have access to their emergency contact information and medical history in case of an emergency.

How to fill out emergency information form?

You can fill out the emergency information form by providing accurate and up-to-date information about your emergency contacts, medical history, and any specific needs or requirements you may have in case of an emergency.

What is the purpose of emergency information form?

The purpose of the emergency information form is to ensure that relevant parties have access to vital information about an individual in case of an emergency, allowing for quick and appropriate action to be taken.

What information must be reported on emergency information form?

The information that must be reported on the emergency information form includes emergency contacts, medical history, any specific needs or requirements, and any relevant allergies or medications.