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This form is used to collect emergency contact information for students, staff, and faculty at the wellness center.
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How to fill out wellness center emergency contact

How to fill out WELLNESS CENTER EMERGENCY CONTACT
01
Locate the WELLNESS CENTER EMERGENCY CONTACT form.
02
Fill out your full name at the top of the form.
03
Provide your contact number (mobile and/or home) in the designated field.
04
Enter your primary address.
05
List a secondary emergency contact person, including their relationship to you.
06
Fill in the secondary contact person's phone number.
07
If applicable, include any specific medical information or allergies.
08
Review the information for accuracy.
09
Sign and date the form where indicated.
10
Submit the completed form to the appropriate wellness center staff.
Who needs WELLNESS CENTER EMERGENCY CONTACT?
01
Individuals participating in wellness programs at the center.
02
Parents or guardians of minors involved in wellness activities.
03
Staff and volunteers working at the wellness center who need to ensure a safe environment.
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People Also Ask about
What is the mental health US hotline?
A 24/7 crisis hotline can be the first line of defense in preventing these tragedies and an essential part of any continuum of care for mental health crises. Since 2004, the National Suicide Prevention Lifeline (Lifeline) has been accessible nationwide by dialing 800-273-TALK (8255).
What is the phone number for Keene State Wellness Center?
Visit this page to schedule an appointment at the Wellness Center. If you have questions, please call us at 603-358-2200, Monday – Friday, 8am – 4:30pm.
Does 1 800 273 8255 still work?
A: 988 is an easy-to-remember number that connects callers to suicide and mental health related crisis support through one of California's existing 988 Suicide and Crisis Lifeline services. 911 is focused on addressing public safety concerns and emergencies (e.g., dispatching EMS, fire department, and law enforcement).
What is the indigenous crisis line in BC?
This is a First Nations and Aboriginal crisis line by and for First Nations and Aboriginal peoples that services the whole of British Columbia. The 24 hour KUU-US Crisis Line toll free number is 1-800-588-8717.
What is the mental helpline in the US?
Call 1-800-662-HELP (4357) to speak directly with a counselor. Take the time to speak with those you care about about mental health. No matter what you're going through, connect with loved ones, medical professionals, and community organizations for the help you need.
What does 988 stand for?
On July 16, 2022 the ten-digit National Suicide Prevention Lifeline number, 1-800-273-TALK (8255), was converted to an easy to remember three-digit number, 988. Even though this change happened to expand service and strengthen access to mental health care to those in need, the original number will remain in service.
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What is WELLNESS CENTER EMERGENCY CONTACT?
The WELLNESS CENTER EMERGENCY CONTACT is a designated individual who can be reached in case of an emergency involving a client or patient at the wellness center.
Who is required to file WELLNESS CENTER EMERGENCY CONTACT?
All clients or patients receiving services at the wellness center are typically required to file a WELLNESS CENTER EMERGENCY CONTACT.
How to fill out WELLNESS CENTER EMERGENCY CONTACT?
To fill out the WELLNESS CENTER EMERGENCY CONTACT form, provide your first and last name, the name and relationship of the emergency contact, their phone number, and any additional relevant information that may assist in an emergency situation.
What is the purpose of WELLNESS CENTER EMERGENCY CONTACT?
The purpose of the WELLNESS CENTER EMERGENCY CONTACT is to ensure that there is a reliable point of contact in case of emergencies, allowing for timely communication and response.
What information must be reported on WELLNESS CENTER EMERGENCY CONTACT?
Information that must be reported on the WELLNESS CENTER EMERGENCY CONTACT includes the name of the individual filling out the form, the name of the emergency contact, their relationship to the client, and valid contact numbers.
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