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COLUMBIAN COUNTY EDUCATIONAL SERVICE CENTER 38720 Salt well Road Lisbon, Ohio 44432 EMERGENCY TRANSPORTATION AUTHORIZATION 20162017 Name of Child/Children* Address Phone Mothers (or guardians) name

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How to fill out emergency medical form 2016

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Read the instructions carefully provided on the emergency medical form 2016.

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Fill in your personal information accurately such as your full name, date of birth, and contact information.

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Mention your medical history, allergies, and any ongoing medications.

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Provide emergency contact details of a person who should be notified in case of any emergencies.

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Who needs emergency medical form 2016?

01

Individuals with existing medical conditions or allergies should fill out emergency medical form 2016.

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Parents or guardians should fill out the form for their children who have any medical conditions or allergies.

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Students, especially those participating in school activities or sports, may require the form.

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Elderly individuals who have specific medical needs should also have the emergency medical form.

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Individuals who frequently travel or reside in areas with limited medical access should carry the form.

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What is emergency medical form?

Emergency medical form is a document that contains important medical information about an individual in case of emergency situations.

Who is required to file emergency medical form?

Typically, individuals with underlying medical conditions or allergies are required to file an emergency medical form.

How to fill out emergency medical form?

Emergency medical form can be filled out by providing personal information, medical history, current medications, allergies, and emergency contacts.

What is the purpose of emergency medical form?

The purpose of emergency medical form is to ensure that first responders have access to vital medical information during emergencies.

What information must be reported on emergency medical form?

Information such as name, date of birth, medical conditions, allergies, current medications, and emergency contacts must be reported on emergency medical form.

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