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Journey Informational Form No changes from 201718 Names: Nickname Address City/State Zip Phone Email Birthdate / / Emergency Information Who should be contacted if parent or guardian is not available?
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How to fill out emergency information who should

01
To fill out emergency information, follow these steps:
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Start by gathering all necessary personal details such as full name, date of birth, and contact information.
03
Include your emergency contact information, including their name, relationship to you, and their contact number.
04
List any known medical conditions, allergies, or specific medications you are taking.
05
Include any medical or health insurance details that may be relevant in case of emergency.
06
Make sure to provide important medical history information, such as past surgeries, chronic conditions, or ongoing treatments.
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Include the details of your preferred healthcare provider or primary care physician.
08
If applicable, provide information about any advance directives or living wills you may have.
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Double-check all the information you have entered to ensure accuracy and completeness.
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Store the completed emergency information form in a secure and easily accessible location.
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Remember to update your emergency information regularly and inform your emergency contacts about any changes.

Who needs emergency information who should?

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Emergency information is beneficial for everyone, but it is especially important for:
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- Individuals with known medical conditions, allergies, or chronic illnesses.
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- People who regularly take medications that others may need to be aware of in case of an emergency.
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- Elderly individuals who may have complex medical histories or require special care.
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- Parents or caregivers responsible for the well-being of others, such as children or individuals with disabilities.
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- Individuals who frequently engage in high-risk activities or occupations.
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- Travelers visiting unfamiliar places or participating in adventurous activities.
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- Anyone who wants to be prepared and ensure timely assistance in case of emergencies.
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