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HI Emergency Card 2022-2025 free printable template

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EMERGENCY CARD (to be completed every school year.) SchoolStudent Address LabelDateGradeRoomLanguage(s) Spoken at HomeStudent Name(Last)Home Address(First)Mailing Address(Middle Initial)Sex: q M q
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How to fill out parent notification and guide

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How to fill out HI Emergency Card

01
Obtain the HI Emergency Card template from your local health authority or download it online.
02
Fill in your personal information including your full name, date of birth, and contact details.
03
Provide information about any medical conditions or allergies you have.
04
List your emergency contacts with their names and phone numbers.
05
Include any necessary medical preferences or instructions for healthcare providers.
06
Review all the information for accuracy and completeness.
07
Sign and date the card as required.
08
Keep the card in a safe and accessible location, such as your wallet or first aid kit.

Who needs HI Emergency Card?

01
Anyone with medical conditions or allergies who may require emergency assistance.
02
Individuals who travel frequently or engage in outdoor activities.
03
Parents or guardians filling out the card for their children.
04
Caregivers or those responsible for individuals with special health needs.
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CODE RED – IMMEDIATE LOCKDOWN (No Movement) Classroom Teachers. CODE YELLOW – LOCKOUT (Movement of SAFE Team only) Classroom Teachers. CODE ORANGE – EVACUATION. (Initially, same as fire-drill evacuation) CODE BROWN – SHELTER-IN-PLACE. (SAFE Team initial movement only) CODE BLACK – BOMB THREAT. CODE BLUE – MEDICAL EMERGENCY.
A CODE RED alert indicates a potential or immediate threat within the building or on the campus and is the signal for a full scale lockdown of all classrooms. All students and all staff remain in or enter the nearest space and all classroom doors are locked.
A Code Blue means that school staff is following established procedures for responding to a medical emergency or potential medical emergency.
Put these items on the front: Name. Street Address. City, State, Zip.Put these items on the back: Emergency Contacts. Conditions, Disability. Medications. Assistance Needed. Allergies. Immunization Dates. Communication/Equipment/Other Needs.
Contact the NYC Department of Education You can call: 718-935-2200 (Monday-Friday, 8 a.m.- 6 p.m.) 311 (24 hours a day, seven days a week) and let the operator know you have an education-related issue. TTY Services are available by calling 212-504-4115.
During a soft lockdown teachers lock their doors and continue teaching. This type of lockdown might occur when a student search is underway and there is no danger to students and staff.
CODE BLUE - Danger outside of the school in the immediate area) Stay in place, lock all doors.
Relationship. Parent's Preferred Language of Communication (Written) Parent's Preferred Language of Communication (Oral)

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The HI Emergency Card is a form used by healthcare providers to communicate important information about a patient's health status and needs during emergency situations.
Healthcare providers who are involved in the care of patients in emergency situations are required to file the HI Emergency Card.
To fill out the HI Emergency Card, healthcare providers should provide accurate patient information, including name, medical history, allergies, medications, and emergency contact details.
The purpose of the HI Emergency Card is to ensure that critical health information is readily available to emergency responders, facilitating prompt and appropriate medical care.
The HI Emergency Card must report the patient's name, date of birth, medical history, existing medical conditions, current medications, allergies, and emergency contact information.
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