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WOODBRIDGE TOWNSHIP SCHOOL DISTRICT 2 STUDENT EMERGENCY INFORMATION Note: This is a 2-page form. Page 1 of 2 Emergencies, such as sudden illness/injury, or unscheduled early dismissals, may make it
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How to fill out an emergency information note:

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Start by writing your full name and contact information at the top of the note. This should include your phone number, email address, and home address.
02
Next, provide the necessary emergency contact details. Include the names and phone numbers of at least two trusted individuals who can be contacted in case of an emergency. These contacts can be family members, friends, or neighbors.
03
Include any relevant medical information. This may include allergies, chronic illnesses, or specific medications that you are taking. It is important to mention any medical conditions that require special attention or may affect your treatment during an emergency.
04
If applicable, mention any specific instructions or precautions that emergency responders should be aware of. This could include any mobility issues, dietary restrictions, or communication preferences.
05
Provide details about your primary healthcare provider. Include their name, phone number, and any specific instructions on how to contact them, especially in case of a medical emergency.
06
Finally, consider any additional information that might be relevant in an emergency situation. This could include details about your insurance coverage, preferred hospital or pharmacy, or any legal documents such as advance healthcare directives or power of attorney.

Who needs an emergency information note?

An emergency information note is recommended for everyone. It is particularly crucial for individuals with specific medical conditions or allergies, elderly individuals, parents or guardians of young children, individuals with disabilities, individuals who live alone, and individuals who frequently travel or engage in risky activities. Having this information readily available can greatly assist emergency responders in quickly and effectively managing an emergency situation.
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An emergency information note is a form that provides important details about how to respond to emergencies and who to contact in case of a crisis.
Employers, organizations, or individuals who are responsible for the safety and well-being of others may be required to file an emergency information note.
To fill out an emergency information note, you typically need to provide contact information for emergency contacts, details on medical conditions or allergies, and any specific instructions for first responders.
The purpose of an emergency information note is to ensure that critical information is readily available in case of emergencies and to facilitate a quick and effective response.
Information such as emergency contact names and phone numbers, medical conditions, allergies, and medications, as well as any specific instructions for first responders may need to be reported on an emergency information note.
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