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LCC Campus Community Emergency Response Team Volunteer Application Please complete. Print all answers. Individual or Group Name___ Application Date ___ Phone Number:___ Email:___I. Application Questions
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Begin by gathering all necessary information such as personal details and emergency contact information.
02
Fill out the medical history section, including any pre-existing conditions or current medications.
03
Ensure to include any allergies or dietary restrictions that may impact your health during a disaster.
04
Provide emergency medical information such as blood type and known medical conditions.
05
Fill out the mental health section by indicating any prior mental health concerns or treatments.
06
Include any coping mechanisms or support systems that may be helpful during a disaster.

Who needs disaster health and mental?

01
Anyone who may be impacted by a disaster, including individuals living in disaster-prone areas or those involved in emergency response efforts.
02
Those with pre-existing health or mental health conditions that may be exacerbated during a disaster situation.
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Disaster health and mental refers to the collection of information related to the health and mental well-being of individuals affected by a disaster.
Health professionals and mental health practitioners are required to file disaster health and mental information.
Disaster health and mental information can be filled out by documenting assessments, treatment plans, and progress notes for individuals affected by a disaster.
The purpose of disaster health and mental is to track and monitor the health and mental well-being of individuals affected by a disaster to provide appropriate care and support.
Information such as physical health status, mental health symptoms, medication usage, and treatment interventions must be reported on disaster health and mental.
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