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EMERGENCY MEDICAL NG PAHINTULOT FORM ORC 3313.712 ID___Pangalan NG estudyante___ Lestrade___ Teacher___FIRSTAddress______DOB ___Bus___Email___Home Telephone ___ Custody NG importation / Nakamura with___ BAKUNIN:

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How to fill out emergency medikal ng pahintulot

01

Fill out personal information including name, address, contact number, and date of birth.

02

Provide detailed medical history including pre-existing conditions, allergies, medications, and surgeries.

03

List emergency contact information including name, relationship, and contact number.

04

Sign and date the form to authorize medical treatment in case of an emergency.

Who needs emergency medikal ng pahintulot?

01

Anyone who wants to ensure that their medical preferences are followed in case of an emergency.

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What is emergency medikal ng pahintulot?

Emergency medical consent form

Who is required to file emergency medikal ng pahintulot?

Parents or legal guardians

How to fill out emergency medikal ng pahintulot?

Fill out the form with the required information

What is the purpose of emergency medikal ng pahintulot?

To give permission for medical treatment in case of emergency

What information must be reported on emergency medikal ng pahintulot?

Personal information, medical history, emergency contacts

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