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Hansom Clinic
Patient HandbookImportant Phone Numbers
Emergency: The Hansom Clinic DOES NOT PROVIDE EMERGENCY
SERVICES or sick call. In the event of an emergency, dial 911 or go the
nearest Emergency
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How to fill out emergency form hanscom clinic

How to fill out emergency form hanscom clinic
01
Start by visiting the Hanscom Clinic website or contacting them directly for the emergency form.
02
Download the emergency form from their website or ask for a physical copy from the clinic.
03
Read the instructions on the form carefully before filling it out.
04
Provide all the necessary personal information such as name, date of birth, address, and contact details.
05
Include relevant medical information such as allergies, chronic conditions, and current medications.
06
Fill out the emergency contact section with the names and phone numbers of people who should be contacted in case of an emergency.
07
Provide any additional details or instructions that may be required.
08
Review the completed form to ensure all information is accurate and legible.
09
Submit the form to the Hanscom Clinic either in person or through the designated submission method.
Who needs emergency form hanscom clinic?
01
Anyone who seeks medical treatment or regular services at the Hanscom Clinic should have an emergency form on file.
02
This includes active duty military personnel, dependents, retirees, and other eligible beneficiaries.
03
Having an emergency form helps ensure that the clinic has the necessary information to provide appropriate care in case of an emergency.
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What is emergency form hanscom clinic?
Emergency Form Hanscom Clinic is a form that collects important information regarding an individual's emergency contact, medical history, and allergies in case of emergencies.
Who is required to file emergency form hanscom clinic?
All patients who receive medical care or treatment at Hanscom Clinic are required to file an emergency form.
How to fill out emergency form hanscom clinic?
Patients can fill out the emergency form either electronically through the clinic's online portal or by filling out a paper form provided at the clinic.
What is the purpose of emergency form hanscom clinic?
The purpose of the emergency form is to ensure that medical staff have quick access to important information in case of emergencies, such as medical conditions, allergies, and emergency contacts.
What information must be reported on emergency form hanscom clinic?
The information reported on the emergency form includes medical history, current medications, allergies, emergency contacts, and any special instructions for treatment.
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