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EMERGENCY MEDICAL INFORMATION (Mail in) BROOKLINE SUMMER SCHOOL 2018 Student: Date of Birth: Grade entering in Sept: School: Address: Home phone: Parent/Guardian: Work or Cell phone: Parent/Guardian:
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How to fill out emergency medical information

01
Start by gathering all necessary personal and medical information, including your full name, date of birth, and contact information.
02
Create a comprehensive list of any medical conditions or allergies you may have, along with any medications you are currently taking.
03
Include emergency contact information for at least two people, including their names, phone numbers, and relationship to you.
04
Write down any specific medical instructions or protocols that should be followed in case of an emergency.
05
Make sure to include your insurance information, such as policy number and contact details for your insurance provider.
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Once you have compiled all the necessary information, fill out a medical information form or create a digital document that can be easily accessed and shared.
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Keep a copy of your emergency medical information with you at all times, whether in your wallet, purse, or on your phone.
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Additionally, inform your close family members or loved ones about the existence and location of your emergency medical information.

Who needs emergency medical information?

01
Anyone can benefit from having emergency medical information readily available.
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It is particularly important for individuals with chronic health conditions, allergies, or who are taking multiple medications.
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Those who engage in high-risk activities or have a history of medical emergencies should also have their medical information easily accessible.
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Caregivers, family members, and friends of individuals with medical conditions should also be aware of their emergency medical information.
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Emergency medical information is crucial information regarding an individual's medical history, allergies, medications, and emergency contacts that can be accessed in case of a medical emergency.
Individuals with known medical conditions, allergies, or medications are encouraged to file emergency medical information.
Emergency medical information can be filled out on forms provided by medical institutions, online platforms, or through medical alert bracelets or cards.
The purpose of emergency medical information is to provide quick and accurate medical information to healthcare providers in the event of a medical emergency.
Emergency medical information should include medical conditions, allergies, medications, emergency contacts, and any relevant medical history.
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