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You can complete and submit this form online at www.cityofpetaluma.net×parsec×brochure.html City of Petaluma, Department of Parks and Recreation Summer 2016 EMERGENCY MEDICAL INFORMATION AND PERMISSION
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How to fill out emergency medical information:

01
Start by gathering all necessary personal information, including full name, date of birth, gender, and contact information.
02
Include any known medical conditions, allergies, or sensitivities that emergency personnel should be aware of. Be specific and provide any relevant details.
03
List all current medications being taken, including dosage instructions and the reason for taking them.
04
Indicate any previous surgeries or medical procedures that have been performed.
05
Include emergency contact information, such as the names and phone numbers of family members or close friends who should be notified in case of an emergency.
06
If applicable, provide information about any medical devices or implants that are in use.
07
Consider including a summary of medical history, highlighting any major illnesses or injuries that have occurred in the past.
08
Review the completed form for accuracy and make sure to keep it updated as any changes occur.

Who needs emergency medical information:

01
Individuals with chronic medical conditions, such as diabetes, asthma, or heart disease, should have emergency medical information readily available in case of an emergency.
02
People with severe allergies to medications, foods, or other substances should ensure their emergency medical information clearly states these allergies to prevent potential life-threatening reactions.
03
Individuals who are on multiple medications or have complex medical regimens should have their emergency medical information documented to help emergency personnel make informed decisions.
04
Patients with a history of major surgeries or procedures should have their emergency medical information available to guide medical professionals during emergencies.
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Emergency medical information is vital data about an individual's medical history, allergies, medications, and any existing medical conditions that can be crucial in case of a medical emergency.
Individuals with underlying health conditions, allergies, or specific medical needs are required to provide emergency medical information.
Emergency medical information can be filled out on medical forms provided by healthcare providers, in medical ID bracelets, or stored in emergency contact lists.
The purpose of emergency medical information is to ensure that medical professionals can quickly access important health details to provide appropriate care during emergencies.
Emergency medical information should include medical conditions, allergies, current medications, emergency contacts, and any relevant medical history.
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