Get the free EMERGENCY CONTACTS PHYSICIAN - Diocese of Oakland - oakdiocese

DIOCESE OF OAKLAND HUMAN RESOURCES DEPARTMENT 2121 Harrison Street Oakland, CA 94612 D-1 EMPLOYEE INFORMATION FORM NAME: ADDRESS: CITY BIRTH DATE: HOME PHONE: (SSN: HIRE DATE: DEPARTMENT: CELL PHONE:

How to fill out emergency contacts physician

How to fill out emergency contacts physician:

1. Start by gathering the necessary information. Make sure you have the contact details of your primary physician, including their name, address, phone number, and any other relevant information.
2. In the designated section of the form or document, write down the name of your primary physician. Double-check the spelling to ensure accuracy.
3. Next, include the complete address of your primary physician. This should include the street address, city, state, and zip code.
4. Provide the phone number for your physician. Include both the office number and an after-hours emergency contact number if available.
5. If applicable, include any additional information about your primary physician that may be required. This could include their specialty, clinic or hospital affiliation, or any specific instructions for contacting them in an emergency.

Who needs an emergency contacts physician:

1. Individuals with pre-existing medical conditions or chronic illnesses may benefit from having an emergency contacts physician. This could include people with conditions such as heart disease, diabetes, asthma, or epilepsy.
2. Those who frequently require medical assistance or have a history of medical emergencies should also have an emergency contacts physician. This is particularly important for individuals who may be at higher risk for sudden health crises.
3. People who frequently travel or have a lifestyle that exposes them to potential emergencies may also need an emergency contacts physician. This is especially relevant for individuals who engage in activities such as extreme sports, travel to remote locations, or work in high-risk occupations.

In summary, filling out emergency contacts physician involves gathering and providing accurate information about your primary physician. This information is especially crucial for individuals with pre-existing medical conditions, a history of emergencies, or those who have a higher risk of encountering health crises.

For pdfFiller’s FAQs

What is emergency contacts physician?

Emergency contacts physician is a designated medical professional that can be contacted in case of emergency.

Who is required to file emergency contacts physician?

Employers are required to file emergency contacts physician for their employees.

How to fill out emergency contacts physician?

Emergency contacts physician can be filled out by providing the name, contact information, and medical history of the designated medical professional.

What is the purpose of emergency contacts physician?

The purpose of emergency contacts physician is to ensure that there is a designated medical professional who can be contacted in case of an emergency.

What information must be reported on emergency contacts physician?

The information reported on emergency contacts physician must include the name, contact information, and medical history of the designated medical professional.

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