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Sheltering the Medically Fragile
November 2012
A Supporting Annex to the Mass Care and Shelter Plan Sacramento County Sheltering the Medically Fragile Acceptable of Contents
1.0 INTRODUCTION ..................................................................................................3
1.1
1.2
1.3Definitions
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How to fill out sheltering form medically fragile
How to fill out sheltering form for medically fragile individuals:
01
Start by carefully reading the instructions on the sheltering form. Make sure you understand all the requirements and sections that need to be completed.
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Gather all the necessary information and documents before starting to fill out the form. This may include medical records, prescriptions, emergency contact information, and any other relevant details about the individual's medical condition.
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Begin filling out the form by providing the individual's personal information such as their name, date of birth, address, and contact details. Double-check the accuracy of the information to avoid any mistakes.
04
Move on to the medical history section of the form. Here, you will need to provide details about the individual's medical condition, any medications they are currently taking, and any allergies or specific medical needs they may have.
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Next, provide contact information for the individual's primary healthcare provider. This will allow the sheltering facility to communicate with the medical professionals if necessary.
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Fill in the emergency contact information section. It is crucial to have at least one contact person who can be reached in case of an emergency or if the individual requires medical attention.
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Review the entire form once you have completed filling it out. Make sure all the information provided is accurate and up to date. Double-check for any missing or incomplete sections before submitting the form.
Who needs a sheltering form for medically fragile individuals?
01
Individuals with serious medical conditions that require special assistance or accommodations during an emergency situation may need a sheltering form for medically fragile individuals.
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This could include individuals with chronic illnesses, mobility limitations, respiratory conditions, or those who rely on medical equipment or medications to manage their health.
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Medical professionals, caregivers, or family members responsible for the care of these individuals should ensure that they have a sheltering form completed, as it helps inform emergency responders and sheltering facilities about the individual's medical needs and requirements.
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What is sheltering form medically fragile?
Sheltering form for medically fragile is a document used to identify individuals who have medical conditions that require special accommodations during emergencies.
Who is required to file sheltering form medically fragile?
Individuals with medical fragility or their caregivers are required to file sheltering form for medically fragile.
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Sheltering form for medically fragile can be filled out by providing detailed information about the individual's medical condition, necessary accommodations, and emergency contacts.
What is the purpose of sheltering form medically fragile?
The purpose of sheltering form for medically fragile is to ensure that individuals with medical conditions receive appropriate assistance and care during emergencies.
What information must be reported on sheltering form medically fragile?
Information such as medical diagnoses, required medications, special equipment needs, dietary restrictions, and emergency contact information must be reported on sheltering form for medically fragile.
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