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EMERGENCY CONTACT First name Last name Relationship ... EMERGENCY INFO FORM Office of Student Life 5000 Deer Park Dr SE, Salem, OR 97317
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Point by point guide on filling out an emergency info form:

01
Start by gathering all the necessary personal information such as your full name, date of birth, and contact details. This includes your phone number, address, and email address.
02
Provide your emergency contact information. It is crucial to include the name, relationship to you, and contact numbers of at least two individuals who can be reached in case of an emergency.
03
Indicate any relevant medical conditions or allergies that could be essential for emergency responders or medical personnel to know. Include details such as medication you are currently taking, known allergies or sensitivities, and any chronic illnesses.
04
Include information about your primary healthcare provider, including their name, contact information, and any specific instructions or preferences they have in case of an emergency.
05
If applicable, provide your insurance information, including the name of your insurance provider, policy number, and any necessary contact details. This can be valuable in case of a medical emergency or if your health insurance information is needed.
06
List any known medical devices or mobility aids that you rely on. This could include hearing aids, pacemakers, or wheelchair information. Mentioning these details can help emergency responders provide you with the appropriate assistance and care.
07
Add any other relevant information that you believe would be helpful in case of an emergency. This could include your preferred hospital or healthcare facility, any specific religious or cultural considerations, or any additional emergency contact names and numbers.

Who needs an emergency info form?

01
Individuals of all ages and backgrounds could benefit from having an emergency info form. It is especially crucial for individuals with medical conditions, chronic illnesses, or allergies that may require immediate attention in case of an emergency.
02
Parents or guardians should ensure their children have an updated emergency info form, especially if the child has any medical conditions or allergies.
03
People who engage in high-risk activities such as extreme sports, international travel, or dangerous occupations should have an emergency info form to provide vital information in case of an accident or emergency.
Remember, regularly reviewing and updating your emergency info form is essential to ensure its accuracy and relevance in case of an emergency situation.
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The emergency info form is a document used to collect important information about individuals in case of an emergency situation.
All individuals are required to file an emergency info form, especially in situations where their information may be needed in case of an emergency.
To fill out the emergency info form, individuals need to provide their personal information such as name, address, contact information, emergency contacts, medical conditions, and any other relevant information.
The purpose of the emergency info form is to ensure that individuals have access to important information in case of an emergency, and to help first responders and emergency personnel provide appropriate assistance.
Information such as name, address, contact information, emergency contacts, medical conditions, allergies, current medications, and any other relevant information must be reported on the emergency info form.
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