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CSU Chico Emergency Contact Medical Information free printable template

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CSU, Chico Emergency Contact & Medical Information Last Name First Name Are you 18 or over? Yes No Birth Month and Day ONLY Student ID Cell Email Address Faculty/Coordinator Date of Event Course #
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How to fill out CSU Chico Emergency Contact & Medical Information

01
Obtain the CSU Chico Emergency Contact & Medical Information form from the university's website or administrative office.
02
Read the instructions carefully to understand the required information.
03
In the first section, fill out your personal information including your full name, student ID, and contact details.
04
Provide the names and contact information for at least two emergency contacts who can be reached in case of an emergency.
05
Complete the medical information section, including any allergies, medications, or medical conditions that emergency personnel should know.
06
Review all entered information to ensure accuracy and completeness.
07
Sign and date the form to certify that the information provided is true and accurate.
08
Submit the completed form to the appropriate office as directed in the instructions.

Who needs CSU Chico Emergency Contact & Medical Information?

01
All students enrolled at CSU Chico are required to fill out the Emergency Contact & Medical Information form.
02
Parents or guardians of students may also need this information for emergencies.
03
Faculty and staff who may need to know emergency contacts for their students.
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CSU Chico Emergency Contact & Medical Information is a form that collects essential contact and health information from students to ensure appropriate support in case of emergencies.
All students enrolled at CSU Chico are required to file the Emergency Contact & Medical Information.
Students can fill out the CSU Chico Emergency Contact & Medical Information form online through the university's student portal or by obtaining a physical form from the campus health center.
The purpose is to have up-to-date emergency contact information and medical details readily available to provide timely assistance to students during emergencies.
Students must provide their emergency contact details, medical history, allergies, current medications, and any other relevant health information.
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