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Print FormEMERGENCY CONSENT CARD Save this form to your computer, complete the form then save it again Print all 8 pages. Sign pages 1, 3, 4 and both informed concept forms. Scan forms and submit
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How to fill out emergency - consent card

01
Obtain an emergency-consent card from a medical provider or download a template online.
02
Fill out the card with the participant's personal information such as name, date of birth, emergency contact information, and any known allergies or medical conditions.
03
Clearly state the participant's consent for medical treatment in case of an emergency.
04
Have the participant sign and date the card.
05
Keep the card in a safe and easily accessible place, such as a wallet or cardholder.

Who needs emergency - consent card?

01
Anyone who has a medical condition or allergy that may require emergency treatment.
02
Participants in sports activities, school trips, or other events where medical emergencies may occur.
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Emergency - consent card is a form that allows individuals to specify who can make medical decisions on their behalf in case they are unable to communicate.
Any individual who wants to designate someone to make medical decisions on their behalf in case of an emergency.
You can fill out an emergency - consent card by providing your personal information, naming your chosen representative, specifying their authority, and signing the form.
The purpose of emergency - consent card is to ensure that your medical wishes are followed in case you are unable to communicate during an emergency.
The information reported on emergency - consent card includes personal details, chosen representative's information, and specific medical instructions.
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