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Get the free Wellness Center Emergency Contact Form WELLNESS CENTER EMERGENCY CONTACT

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This form is used to collect emergency contact information from students, staff, faculty, guests, and alumni who are members of the Wellness Center.
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How to fill out wellness center emergency contact

01
Obtain the wellness center emergency contact form from the front desk.
02
Fill out your full name, date of birth, and contact information.
03
Provide information on your emergency contacts including their names, relationship to you, and phone numbers.
04
Check off any specific medical conditions or allergies that the wellness center staff should be aware of in case of emergency.
05
Review the form for accuracy and make sure to sign and date at the bottom.

Who needs wellness center emergency contact?

01
Anyone who visits or utilizes the services of the wellness center should provide emergency contact information.
02
This includes clients, members, staff, volunteers, and anyone else who may be on the premises.
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The wellness center emergency contact is a designated individual who can be contacted in case of a medical emergency at the wellness center.
All individuals attending the wellness center are required to file a wellness center emergency contact.
To fill out the wellness center emergency contact, individuals must provide their name, contact number, relationship to the individual, and any specific medical conditions or allergies.
The purpose of the wellness center emergency contact is to ensure that in case of a medical emergency, the designated individual can be contacted promptly for assistance.
The information reported on the wellness center emergency contact includes name, contact number, relationship to the individual, and any specific medical conditions or allergies.
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