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NEW MOTION PHYSICAL THERAPY, INC., P.S. 9419 COPPER TOP LOOP NE BAINBRIDGE ISLAND, WA 98110 Phone: 2068422428 FAX: 2068422890 PERSONAL INFORMATION Please Print Clearly Last Name Date of Birth: First
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How to fill out emergency contact information please:

01
Start by gathering the necessary details for each emergency contact, such as their full name, relationship to you, and contact information (phone number, email address, etc.).
02
Ensure that you have accurate and up-to-date information for each contact. It's important to regularly review and update your emergency contacts as needed.
03
Prioritize selecting people who are readily available and reliable in emergency situations. Consider individuals who can be easily contacted and can effectively communicate your situation to others if needed.
04
Include a mix of contacts, such as a family member, a close friend, and a coworker, to ensure that you have different options in case someone is unavailable.
05
If you have any specific medical conditions, allergies, or other important information, make sure to mention it in the emergency contact form. This will help medical professionals provide appropriate care in case of an emergency.
06
Review the filled-out information thoroughly to ensure accuracy before submitting it. Keep a copy of the emergency contact information with you and provide another copy to a trusted person or organization, such as your workplace HR department or your child's school.

Who needs emergency contact information please:

01
Everyone: It is essential for everyone to have emergency contact information readily available in case of unexpected situations or emergencies. Whether you are a student, employed, or retired, having someone to be contacted in emergencies provides peace of mind to you and helps others assist you when needed.
02
Parents: It is crucial for parents to provide emergency contact information for themselves and their children. This ensures that in case of any emergencies at school, sports activities, or during family outings, the appropriate contacts can be reached quickly.
03
Individuals with specific medical conditions: People with medical conditions, allergies, or chronic illnesses should especially ensure that their emergency contact information is readily available. This information can be vital in providing immediate and appropriate medical care during emergencies.
04
Employees: Employers often require their employees to provide emergency contact information as part of their personnel records. This allows employers to quickly reach out to someone in case of work-related emergencies or accidents.
05
Travelers: When traveling, it is advisable to have emergency contact information with you. This can be useful in situations like losing your passport, encountering health issues, or facing legal or safety concerns in foreign countries.
Remember, emergencies can happen at any time, so having accurate and updated emergency contact information is crucial for the safety and well-being of yourself and others.
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Emergency contact information consists of details of a person who should be contacted in case of an emergency.
All individuals are typically required to file emergency contact information, especially in workplace settings or educational institutions.
Emergency contact information can be filled out by providing the name, relationship, phone number, and any other relevant details of the designated emergency contact person.
The purpose of emergency contact information is to ensure that there is a designated person who can be notified in case of an emergency involving the individual.
Information such as the name, phone number, relationship to the individual, and any special instructions or medical information may be required on emergency contact information.
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