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St. Agnes Academy Upper School Emergency Contact Form 20232024 COMPLETE FORM USING ONLY BLUE OR BLACK INK AND RETURN COMPLETED FORM TO MRS. HOFFMAN___/___ Student Last Name First Name Middle Name
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Gather the necessary forms for student contact and medical information
02
Fill out the student's name, address, phone number, and emergency contact information
03
Provide details on the student's medical history, any allergies, medications, and insurance information
04
Review and double-check all information for accuracy and completeness

Who needs student contact and medical?

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School administrators
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Teachers
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School nurses
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Emergency responders
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Student contact and medical information refers to the details related to a student's emergency contact information and any medical conditions or allergies they may have.
School administrators, teachers, or other authorized personnel are typically required to file student contact and medical information.
Student contact and medical forms are usually filled out by parents or guardians at the beginning of the school year or when a student enrolls in a new school. It is important to provide accurate and up-to-date information.
The purpose of student contact and medical information is to ensure that schools have access to important information in case of emergencies and to provide appropriate care to students with medical conditions.
Student contact and medical forms typically require the student's name, emergency contact information, medical history, allergies, and any medications they may be taking.
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