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Counselor×Teacher Name: School: Mount Sermon Outdoor Science School Adult Health Emergency Information Form (All Adults 18 and over Must Complete this Form) Name Date of Birth / / Male Female Home
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How to fill out adult health and emergency:

01
Begin by gathering all necessary personal information, such as full name, date of birth, and contact information.
02
Provide details regarding any pre-existing medical conditions or allergies that may be crucial for healthcare professionals to know in case of an emergency.
03
Fill out emergency contact information, including names, relationships, and their contact numbers.
04
Specify the desired treatment options and any specific medical preferences.
05
Indicate any current medications being taken, including dosage and frequency.
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Provide details about any recent surgeries, medical procedures, or hospitalizations.
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Include healthcare insurance information, such as the policy number and primary care physician's contact information.

Who needs adult health and emergency?

01
Every adult, regardless of age or health condition, should have an adult health and emergency plan in place. Accidents and health emergencies can happen unexpectedly, and being prepared can save valuable time and potentially even lives.
02
Individuals with pre-existing medical conditions, such as chronic illnesses, allergies, or disabilities, may particularly benefit from an adult health and emergency plan. This information helps healthcare professionals to understand their specific needs and provide appropriate care quickly.
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Older adults, who may have more complex medical histories or age-related health concerns, should also prioritize having an adult health and emergency plan. As people age, their health needs change, and having a comprehensive plan in place can ensure timely and appropriate care during emergencies.
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Adult health and emergency refers to the information and procedures related to a person's health and emergency contacts as an adult.
Adults are required to file adult health and emergency for themselves.
To fill out adult health and emergency, one must provide their medical history, emergency contact information, and any relevant health conditions or allergies.
The purpose of adult health and emergency is to ensure that individuals have their important health information on hand in case of emergencies.
Information such as medical history, current health conditions, allergies, emergency contact information, and any medications taken must be reported on adult health and emergency.
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