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227 N. Winter St. Adrian, MI 49221 Phone: 517.266.0250 Fax: 517.266.9239 www.lendevcorp.com Medical Disclosure and Emergency Contact Form RV: 02/16

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What is medical disclosure and emergency?

Medical disclosure and emergency refers to the process of providing information regarding an individual's medical history and emergency contact information.

Who is required to file medical disclosure and emergency?

Individuals who are participating in certain activities or programs that require medical information and emergency contact details may be required to file medical disclosure and emergency.

How to fill out medical disclosure and emergency?

Medical disclosure and emergency forms typically require individuals to provide details about their medical history, current medications, allergies, and emergency contact information.

What is the purpose of medical disclosure and emergency?

The purpose of medical disclosure and emergency is to ensure that individuals participating in activities or programs are provided with appropriate medical care in case of emergency.

What information must be reported on medical disclosure and emergency?

The information that must be reported on medical disclosure and emergency forms typically includes medical conditions, current medications, allergies, and emergency contact details.

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