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Prevent Questionnaire Contact Name: Company: Address: City: State: Zip: Email Address: Office Phone: Cell Phone: (for emergencies only)Date of Event: Time of Presentation: Amount of Time Scheduled

How to fill out for emergencies only

How to fill out for emergencies only

1. First, assess the situation and determine if it is a true emergency.
2. If it is a life-threatening emergency, immediately call emergency services or go to the nearest emergency room.
3. If it is not life-threatening but still requires immediate medical attention, call your doctor or healthcare provider.
4. Provide accurate information about the emergency, including your location and any specific details about the situation.
5. Follow any instructions given by the emergency services or healthcare professionals.
6. Stay calm and do your best to provide necessary assistance until help arrives.

Who needs for emergencies only?

1. People who are experiencing life-threatening situations such as severe injuries, heart attacks, strokes, or difficulty breathing.
2. Individuals who are facing sudden and severe medical conditions that require immediate attention to prevent further harm or complications.
3. Anyone in a situation where delay in medical treatment can potentially lead to permanent damage, disability, or death.

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