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FEI IRISH ATHLETE License APPLICATION 2020First Name Address:SurnameDate of Birth//Address Mobile Phone (In the case of a minor please give Parent/ Guardian Mobile or other Contact Number) Internationality
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How to fill out emergency treatment authorization card

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How to fill out emergency treatment authorization card

01
Fill out the patient's personal information including full name, date of birth, address, and contact numbers.
02
Indicate any relevant medical history or conditions that may affect treatment.
03
Provide emergency contact information including name and phone number.
04
Include insurance information if applicable.
05
Sign and date the form to authorize emergency treatment.

Who needs emergency treatment authorization card?

01
Anyone who wants to ensure that their medical information and emergency contacts are easily accessible in case of an emergency.
02
Individuals with specific medical conditions that may require immediate treatment by healthcare providers.
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Emergency treatment authorization card is a document that gives permission for emergency medical treatment for an individual in case of an emergency.
Parents or legal guardians of minors are required to file emergency treatment authorization card for their children.
Emergency treatment authorization card can be filled out by providing personal and medical information of the individual, emergency contacts, insurance information, and any specific medical instructions.
The purpose of emergency treatment authorization card is to ensure that necessary medical treatment can be administered quickly and efficiently in case of an emergency.
Information such as name, date of birth, medical conditions, allergies, emergency contacts, insurance details, and any specific instructions for medical treatment must be reported on emergency treatment authorization card.
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