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Information on this form is to be filled out (updated) for each new school year. Bellevue School District-2012-2013 CONFIDENTIAL EMERGENCY HEALTH INFORMATION From the Desk of the School Nurse Please
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Start by gathering all relevant personal information, such as full name, date of birth, and contact details.
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Provide information about any existing health conditions, allergies, or medications that could be crucial in case of an emergency.
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Include details about your primary healthcare provider, their contact information, and any known medical history or past surgeries.
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Include information about your preferred hospital or healthcare facility, if applicable.
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Specify any emergency contacts, including their names, relationships, and contact details. It is important to inform these individuals that they are listed as emergency contacts.
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Provide details about your health insurance coverage, including the policy number and any necessary contact information.
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Indicate any specific instructions or preferences for emergency medical personnel, such as religious or cultural considerations, or preferred methods of communication.
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Review the completed form for accuracy and make any necessary updates regularly or as changes occur.

Who needs confidential emergency health information?

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Individuals with existing medical conditions: People who have pre-existing health conditions can benefit greatly from having confidential emergency health information readily available. This information can provide crucial insights for emergency medical personnel to ensure appropriate and timely treatment.
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Elderly individuals: Aging adults may have multiple health concerns or chronic conditions that require specific care. Confidential emergency health information can help medical professionals in providing effective treatment to elderly individuals.
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Individuals with severe allergies: People with severe allergies, especially those that can lead to anaphylaxis, should always have their confidential emergency health information available. This information can help first responders or healthcare professionals quickly identify the potential allergen and provide appropriate treatment.
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Parents of young children: Parents or caregivers of young children should have confidential emergency health information on hand in case of emergencies. This can include details about any existing medical conditions, allergies, or medications their child may be taking.
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Those with a high-risk lifestyle or occupation: Individuals who engage in high-risk activities or have high-risk occupations, such as firefighters, police officers, or extreme sports enthusiasts, should have confidential emergency health information. This ensures that medical professionals can provide specialized care tailored to the unique risks and challenges associated with their lifestyle or occupation.
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Confidential emergency health information includes personal health details that are only shared with medical professionals in case of an emergency.
Individuals are required to fill out their confidential emergency health information.
To fill out confidential emergency health information, individuals can provide details about their medical history, medications, allergies, and emergency contacts on a designated form.
The purpose of confidential emergency health information is to ensure that medical professionals have access to critical health details during an emergency situation.
Confidential emergency health information should include medical conditions, allergies, medications, blood type, and emergency contact information.
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