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DRAWBRIDGE UNITED METHODIST CHURCH EMERGENCY TREATMENT CONSENT AND INFORMATION Forename: Sex: Date of Birth: Grade: LastFirstMiddleAddress: Zip: Home Phone: Parent/Guardian: Work Phone: Parent/Guardian:
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Start by gathering all the necessary information such as personal details, medical history, and emergency contacts.
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Begin filling out the emergency medical form by providing your full name, date of birth, and contact information.
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Next, input any relevant medical conditions or allergies that you have. Be sure to include details such as the name of the condition, medications you are taking, and any known triggers or reactions.
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Include information about any ongoing treatments or surgeries that you are currently undergoing.
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Provide details about any previous medical procedures or surgeries that you have had in the past.
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List any medications that you are currently taking, along with the dosage and frequency.
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Include emergency contact information, such as the name, phone number, and relationship of at least one person who can be reached during an emergency.
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Review the completed form for accuracy and make any necessary revisions or additions.
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Sign and date the form to indicate that the information provided is true and accurate.
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Please complete emergency medical is a form that gathers important medical information in case of an emergency.
Anyone who needs to have their medical information readily available in case of an emergency.
You can fill out the form by providing accurate and up-to-date medical information about yourself.
The purpose of the form is to ensure that healthcare providers have access to key medical information in the event of an emergency.
Information such as medical conditions, allergies, medications, and emergency contacts should be included on the form.
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