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Holy Cross Catholic School Students Name Grade Attending PART I OR II MUST BE COMPLETED PART I TO GRANT CONSENT In the event reasonable attempts to contact: Mothers name Phone # Mothers employers
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Open the 21-22 emergency medical formdocx on your computer.
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Begin by filling out the header section, which typically includes your name, address, phone number, and emergency contact information.
03
Move on to the personal information section, where you'll provide details such as your date of birth, gender, and any allergies or medical conditions you have.
04
Fill out the insurance information section by including your insurance provider's name, policy number, and any other relevant details.
05
In the medication section, list any medications you are currently taking, along with the dosage and frequency.
06
Complete the emergency contacts section by providing the names, phone numbers, and relationships of individuals who should be contacted in case of an emergency.
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Anyone who wishes to have their emergency medical information readily available in case of an emergency should fill out the 21-22 emergency medical formdocx. This includes individuals of all ages, regardless of their current health condition.
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It is a form for recording emergency medical information for the year 2021-2022.
All students and staff members are required to file the form.
The form can be filled out by providing accurate medical information and contact details.
The purpose of the form is to ensure quick access to emergency medical information in case of any health-related issues.
Information such as medical conditions, allergies, medications, emergency contacts, and insurance details must be reported.
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