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FOR EMERGENCY USE! NAME: DATE OF BIRTH: ADDRESS:MY CONTACT FOR QUESTIONS:I HAVE HEARING LOSS AND WEAR THESE DEVICES: Left: Cochlear Implant / Hearing Aid Model and Brand: Right: Cochlear Implant /
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To fill out for emergency use, follow these steps:
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Gather all the necessary information such as personal identification, medical history, and emergency contact details.
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Begin by providing your full name, date of birth, and contact information.
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Clearly state any medical conditions or allergies that would be crucial for emergency responders to know.
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Include information about any medications you are currently taking, including the dosage and frequency.
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Provide the contact information of your primary healthcare provider or specialist, if applicable.
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Specify any medical devices or equipment you rely on, along with instructions on how to use them.
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Include details about any ongoing treatments or therapies you are undergoing.
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Lastly, verify and update your emergency contact information, making sure to include multiple contacts if possible.
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Remember to review and update your emergency use form regularly to ensure its accuracy and relevance.

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Emergency use refers to the authorization granted by regulatory bodies, such as the FDA, allowing the use of a medical product or treatment during public health emergencies when there are no adequate, approved, and available alternatives.
Manufacturers of medical products seeking authorization for emergency use are required to file for emergency use. This includes drug companies, device manufacturers, and other entities developing treatments or vaccines.
To fill out for emergency use, manufacturers must complete an application framework provided by regulatory bodies that includes details on the product, safety, efficacy data, and the basis for emergency use, along with any supporting documentation.
The purpose of for emergency use is to facilitate the rapid deployment of medical products during public health emergencies to save lives and address urgent health needs when traditional approval processes may be too slow.
Information that must be reported includes product description, intended use, manufacturing details, safety and efficacy data from clinical trials, labeling information, and risk mitigation strategies.
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