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Emergency Contact and Health Form for Lantern Fellowship please fill in information and turn in form at registration optional but highly encouraged forms will be kept confidential and will be returned to you or shredded after the weekend Participant Information Last Name First Name Middle Name/Initial Birthdate Address City State Zip Relationship Home Phone Work Phone Cell Phone Insurance Information Participant is covered by medical/hospital insurance Yes No Copy of insurance card attached...
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How to fill out emergency contact and health
How to fill out emergency contact and health
01
To fill out emergency contact, gather the necessary information such as the person's full name, relationship to you, phone number, and address. Write down these details accurately in the emergency contact section of the form.
02
To fill out health information, gather details about any existing medical conditions, allergies, and medications you're currently taking. Write down these details in the health section of the form, ensuring accuracy and clarity.
Who needs emergency contact and health?
01
Emergency contact and health information is important for everyone. It is especially crucial for individuals with medical conditions, allergies, or any potential health risks. Additionally, individuals who participate in high-risk activities or have jobs that involve potential hazards should have emergency contact and health information readily available.
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What is emergency contact and health?
Emergency contact and health information is a record of who to contact in case of an emergency and any important health information that medical personnel may need to know.
Who is required to file emergency contact and health?
Typically, individuals are required to file emergency contact and health information with their employer or school.
How to fill out emergency contact and health?
To fill out emergency contact and health information, individuals usually need to provide details of their emergency contact person(s) and any relevant health conditions or medications.
What is the purpose of emergency contact and health?
The purpose of emergency contact and health information is to ensure that individuals can be quickly and effectively assisted in case of a medical emergency.
What information must be reported on emergency contact and health?
Information such as the name and contact information of emergency contacts, any known allergies or medical conditions, and details of any medications being taken should be reported on emergency contact and health forms.
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