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EMERGENCY CARE INFORMATION FOR LOCAL MEDICAL CARE FACILITIES Dear Adrenal Insufficient (AI) Patient or AI Caregivers/Guardians: The following letter and information sheets are provided to help provide
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Begin by gathering all the necessary information required to fill out the form, such as personal details, emergency contact information, medical history, and any relevant documentation.
02
Carefully read through the instructions provided with the form to understand the specific requirements and sections that need to be completed.
03
Start filling out the form using clear and concise handwriting, ensuring all information is legible and accurate.
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Provide accurate and up-to-date personal information, including your full name, address, phone number, and email address.
05
Clearly indicate the emergency contact person's details, including their name, relationship to you, and contact information.
06
Provide detailed information about any pre-existing medical conditions, allergies, or medications that may be relevant in case of an emergency.
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If required, attach any necessary documentation, such as medical records, insurance information, or consent forms.
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Double-check all the filled-out sections to ensure there are no errors or missing information.
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Follow any additional instructions provided for submitting the form, such as signing and dating it, attaching supporting documents, or submitting it online.
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Make a copy of the completed form for your records before submitting it to the relevant authority or institution.

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Educational institutions, medical facilities, sports organizations, and employers may also need to provide instructions for filling out an emergency form to ensure accurate and complete information is obtained from individuals who may require emergency assistance.
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