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Health History, Emergency Contact Information Permission to Treat with First Aid and Medical Authorization Name of Child: Address: Zip code Keep this form with the Leaders copy of the Girl Registration

How to fill out health history emergency contact

How to fill out health history emergency contact

1. Start by gathering all the necessary information of the emergency contact such as their full name, relationship to the patient, phone number, and address.
2. Begin filling out the health history form by locating the designated section for emergency contact information.
3. Write down the emergency contact's full name in the provided field.
4. Specify the relationship of the emergency contact to the patient (e.g., spouse, parent, sibling).
5. Enter the phone number of the emergency contact. Make sure to include the appropriate area code.
6. Fill in the address of the emergency contact, including the street address, city, state/province, and zip/postal code.
7. Double-check all the information provided to ensure accuracy and completeness.
8. Submit the completed health history form with the emergency contact information.

Who needs health history emergency contact?

1. Everyone who is filling out a health history form should provide emergency contact information. It is essential for medical professionals to have a reliable contact person in case of emergencies or critical situations. Emergency contacts can be family members, close friends, or trusted individuals who can be reached quickly.

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