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PHILLIPSBURG EMERGENCY SQUAD SIDELONG PROGRAM WAIVER FORMAGREEMENT ASSUMING RISK ON INJURY, DAMAGE, OR DEATH WAIVER AND RELEASE OF CLAIMS; AND AGREEMENT NOT TO Whereas the undersigned, not being a
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Start by gathering all necessary personal information, including full name, address, date of birth, and contact details.
02
Fill out the sections related to medical history, including any pre-existing conditions, medications being taken, and allergies.
03
Provide emergency contact information, such as the name and phone number of a family member or close friend who should be contacted in case of an emergency.
04
Indicate any specific medical directives or preferences, such as advanced care directives or Do Not Resuscitate (DNR) orders.
05
Sign and date the form to certify that all provided information is accurate and complete.
06
Submit the filled-out form to the Phillipsburg Emergency Squad for their records.

Who needs phillipsburg emergency squad?

01
The Phillipsburg Emergency Squad is needed by individuals who require immediate medical attention or emergency medical services.
02
This may include individuals experiencing a medical emergency, such as a heart attack, stroke, severe injury, or any other life-threatening condition.
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The emergency squad also assists in transporting patients to the hospital for further medical care when necessary.
04
In addition to emergencies, the squad may also be needed for non-emergency medical transportation, such as transferring a patient between healthcare facilities.
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The Phillipsburg Emergency Squad is a volunteer organization that provides emergency medical services to the community.
Anyone in Phillipsburg who wishes to volunteer with the emergency squad or receive their services may be required to file information.
To fill out the Phillipsburg Emergency Squad form, individuals must provide personal information, emergency contact details, medical history, and sign a liability waiver.
The purpose of the Phillipsburg Emergency Squad is to provide timely and effective emergency medical services to those in need within the community.
Information that must be reported on the Phillipsburg Emergency Squad form includes personal details, medical history, emergency contact information, and any relevant allergies or conditions.
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