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EMERGENCY INFORMATION AND AUTHORIZATION 20222023 Student:___ DOB: ___Parents/Legal Guardians: ___ Home Address: ___ Home Telephone number: ___ Mothers work number: ___ cellular number: ___ Email:

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How to fill out emergency information and authorization

01

Start by gathering all necessary information such as contact numbers, medical conditions, allergies, and emergency contacts.

02

Fill out the provided form with accurate and up-to-date information.

03

Make sure to include any specific details or instructions that may be relevant in case of an emergency.

04

Review the completed form for any errors or missing information before submitting it.

Who needs emergency information and authorization?

01

Anyone who may require emergency assistance or medical treatment needs to have their emergency information and authorization filled out.

02

This could include students, employees, patients, or anyone participating in a program or activity where there is a risk of needing emergency care.

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What is emergency information and authorization?

Emergency information and authorization is a document that provides details on who to contact and what actions to take in case of an emergency involving a specific individual.

Who is required to file emergency information and authorization?

Parents or legal guardians are typically required to file emergency information and authorization for minors, while individuals over 18 years old may fill out their own forms.

How to fill out emergency information and authorization?

To fill out emergency information and authorization, individuals need to provide contact details for emergency contacts, medical information, and any specific instructions or authorizations for emergency situations.

What is the purpose of emergency information and authorization?

The purpose of emergency information and authorization is to ensure that individuals receive appropriate care and support in case of emergencies, as well as to authorize specific actions or treatments if necessary.

What information must be reported on emergency information and authorization?

Information typically reported on emergency information and authorization includes emergency contact names and phone numbers, medical conditions or allergies, preferred hospitals, and any specific instructions for emergency responders.

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