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324 Forest Drive South, Short Hills, NJ 07078 P: 973.376.3587 F: 973.379.5059 www.hartshornarboretum.org HEALTH AND EMERGENCY FORM Dates attending program: from to (Month/Day/Year) Participants Name:
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How to fill out a health and emergency form:

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Begin by carefully reading all instructions and information provided on the form.
02
Fill in your personal details accurately, including your full name, date of birth, and contact information.
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Provide your current address, as well as any alternative or emergency contact details.
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In the section related to medical history, disclose any existing medical conditions, allergies, or medications you are currently taking.
05
If applicable, indicate your primary healthcare provider and provide their contact information.
06
Answer any questions related to emergency contacts, ensuring that you provide the names and phone numbers of individuals who can be contacted in case of an emergency.
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The form may also include a section for insurance information. If you have health insurance, provide the necessary details, including the policy number and the name of the insurance company.
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Carefully review the completed form for any errors or missing information before submitting it.

Who needs a health and emergency form:

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Individuals participating in organized sports or recreational activities often need to complete a health and emergency form. This is to ensure that the organizers have important medical information in case of an injury or emergency during the activity.
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Students enrolling in schools, colleges, or universities may be required to fill out a health and emergency form. This is important for the institution to have essential medical information and emergency contact details in case of any health-related issues.
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Employees starting new jobs or undergoing pre-employment screening might be required to complete a health and emergency form. This allows the employer to be aware of any medical conditions that may affect the individual's ability to perform certain tasks or require accommodation.
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Individuals participating in volunteer programs or community organizations may also need to fill out a health and emergency form. This ensures that there is relevant medical information available to the organization if needed during the volunteering period.
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It is also beneficial for individuals to have a personal health and emergency form on hand for their own records. This can be helpful when visiting healthcare providers, traveling, or during any emergency situation.
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Health and emergency form is a document that collects important medical and emergency contact information.
All individuals are required to file health and emergency form, including students, employees, and visitors.
Health and emergency form can be filled out online or on paper, providing details such as medical history, allergies, and emergency contacts.
The purpose of health and emergency form is to ensure that individuals' medical needs and emergency contacts are readily available in case of an emergency.
Information such as medical conditions, allergies, medications, and emergency contacts must be reported on health and emergency form.
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