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To seek, know, live, and proclaim the Truth 1981 Bavaria Rd, Alaska, MN 55318 pH 9525560040 Fax 9525565567 www.swchs.org EMERGENCY HEALTH INFORMATION 20142015 SCHOOL YEAR Student Name (please print):
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How to fill out emergency health information 2014-2015:

01
Start by gathering all necessary personal information such as full name, date of birth, address, and contact numbers. This information is crucial for quick identification and necessary communications during emergencies.
02
Proceed to fill out the medical history section of the form. Include any pre-existing medical conditions, allergies, or medications that should be known to healthcare professionals in case of an emergency. It is important to be thorough and provide accurate information to ensure proper medical attention and treatment.
03
Next, include emergency contact information. This should include the names, phone numbers, and relationship to the individual of at least two emergency contacts who can be reached in case of an emergency. These contacts should be reliable and easily accessible.
04
Fill out insurance information, including the name of the insurance provider, policy number, and any necessary contact information. This will assist medical personnel in quickly verifying coverage and facilitating any necessary procedures.
05
If applicable, provide specific instructions or preferences regarding medical treatment or medications. For example, if the individual has any specific religious or personal beliefs that may influence medical decisions, it is important to include this information.

Who needs emergency health information 2014-2015?

01
Individuals of all ages who have pre-existing medical conditions or a history of allergies.
02
Students attending schools or universities that require emergency health information for the academic year of 2014-2015.
03
Employees of companies or organizations that require emergency health information for the period of 2014-2015.
04
Individuals planning to travel extensively during the year 2014-2015, as it is always helpful to have emergency health information readily available in case of unforeseen events.
Remember, filling out emergency health information is essential for personal safety and ensuring timely medical assistance when needed. It is important to review and update this information regularly to maintain its accuracy.
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Emergency health information school is a form that contains vital health information about students that can be used in case of an emergency.
Parents or guardians of the students are required to fill out and file the emergency health information school form.
Parents or guardians can fill out the emergency health information school form by providing accurate and up-to-date health information about their child, including any allergies, medical conditions, medications, and emergency contacts.
The purpose of emergency health information school is to ensure that schools have access to important health information about students in case of a medical emergency.
Information that must be reported on the emergency health information school form includes the student's name, date of birth, medical conditions, allergies, medications, and emergency contact information.
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