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TRANSPORTATION HEALTH INFORMATION SHEET (ERA? F010) Sacramento City Unified School District NAME: (Last) (First) BIRTH DATE: / / Mo Day Yr ADDRESS: BOY GIRL SCHOOL: Home Phone: Pager/Cell Phone: ZIP
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How to fill out a transportation health information sheet:

01
Begin by providing your personal information such as your full name, date of birth, and contact details. This information is essential for identification purposes and communication purposes if needed.
02
Indicate any existing medical conditions or allergies that you may have. This information is crucial for ensuring your safety during transportation and allows medical professionals to provide appropriate care if necessary.
03
Specify any medications that you are currently taking. Include the name of the medication, dosage, and frequency of use. This information is vital as it helps transportation providers and medical staff understand your medical needs and any potential interactions or complications that may arise.
04
Mention any mobility aids or assistive devices you require for transportation. This could include items such as wheelchairs, crutches, or canes. Providing this information in advance allows transportation providers to make necessary arrangements for your comfort and convenience.
05
State any dietary restrictions or special meal requirements that you have. If you have specific dietary needs due to allergies, religious beliefs, or medical conditions, it is crucial to inform transportation providers in advance so that appropriate accommodations can be made.
06
In case of emergency, provide emergency contact information. This should include the name, relationship, and contact number of a person who can be reached immediately in case of an emergency during transportation.

Who needs a transportation health information sheet?

01
Individuals with serious medical conditions or life-threatening allergies that may require immediate medical attention during transportation.
02
Patients who are on regular medications that need to be administered during transportation, or those with specific dietary requirements.
03
Individuals with mobility impairments who require special assistance or equipment during transportation.
04
Anyone else who believes that providing their health information during transportation would enhance their safety and overall experience.
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Transportation health information sheet is a document that contains health information related to transportation activities.
Transportation companies and organizations are required to file transportation health information sheet.
Transportation health information sheet can be filled out by providing accurate health information related to transportation activities.
The purpose of transportation health information sheet is to ensure the health and safety of individuals involved in transportation activities.
Information such as medical history, current health status, and any specific health conditions related to transportation activities must be reported on transportation health information sheet.
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