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EMERGENCY INFORMATION & AUTHORIZATIONCHILD IS NAMEADDRESSCITYZIPBIRTH DATEPHONEMOTHER (if different) FATHER (if different)NAMENAMEADDRESSADDRESSCITYCITYHOME PHONEME PHONEEMPLOYER AND ADDRESSEMPLOYER
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Emergency information amp authorization is a form that provides important information about who to contact in case of an emergency and authorizes specific individuals to make decisions on behalf of the person in case of emergency.
Any individual who wants to ensure that their emergency contacts are aware of their situation and authorized to make decisions on their behalf in case of an emergency.
The form typically requires the individual to provide their personal information, emergency contacts, medical information, and specific authorizations for emergency scenarios.
The purpose of emergency information amp authorization is to ensure that the right people are contacted and authorized to make decisions on behalf of the individual in case of an emergency.
The form usually requires personal information, emergency contacts, medical history, allergies, medications, and specific authorizations for emergency situations.
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