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EMERGENCY USE PROCEDURE: REUSE Formation to the Emergency Use:Contact the PH IRB Office at (260) 3738196Yes Date: No Insufficient reattempted PH IRB Chair or designee unavailable(If there is insufficient
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01
Start by reading the emergency use procedure pre-use form carefully.
02
Gather all the necessary information required to fill out the form, such as personal details, contact information, and emergency contact details.
03
Begin filling out the form by entering your name, date of birth, and other personal identification details as requested.
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Provide information about any known medical conditions or allergies that may be relevant in case of an emergency.
05
Fill in your contact information, including phone number, email address, and current address.
06
Next, provide details of your emergency contact person, including their name, relationship to you, and their contact information.
07
If applicable, indicate any medical insurance coverage you may have and provide the relevant details.
08
Review the filled information to ensure accuracy and completeness before submitting the form.
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If required, sign and date the form to acknowledge your understanding and agreement to the emergency use procedure.
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Keep a copy of the filled form for your records.

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In general, anyone who may be exposed to risky circumstances where an emergency can occur may be required to fill out this form.

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The emergency use procedure/pre-use form is a document that outlines the steps and precautions to be taken in case of an emergency.
It is typically required to be filed by individuals or organizations who are responsible for the safety and well-being of others.
The form typically includes sections for identifying the emergency contacts, outlining the emergency procedures, and providing any additional relevant information.
The purpose of the form is to ensure that individuals or organizations are prepared to respond effectively in case of an emergency.
The form usually requires information such as emergency contact numbers, evacuation routes, and emergency supplies.
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