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MEDICAL HISTORY & EMERGENCY CONTACTS UNDERGRADUATE Program: CLASS OF 2015-18 The information provided below will remain confidential and will be accessed and used only in the case of physical/mental
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01
Gather necessary information: Before filling out the medical history and emergency form, gather all the relevant information such as personal details, contact information, and any existing medical conditions or allergies.
02
Provide accurate personal information: Start by filling out your full name, date of birth, address, and phone number. Make sure all the details are accurate and up-to-date.
03
Mention any existing medical conditions: In the medical history section, list any chronic illnesses or conditions you have been diagnosed with. This can include diabetes, heart disease, asthma, or any other relevant conditions.
04
Note any allergies or adverse reactions: Mention any allergies or adverse reactions you have experienced in the past, whether it's related to medications, foods, or environmental factors. This information is crucial for healthcare providers to provide appropriate treatment.
05
Include a list of current medications: Make a list of all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and supplements. Specify the dosage and frequency of use as well.
06
Provide details about previous surgeries or interventions: If you have undergone any surgical procedures or interventions in the past, mention them in this section. Include the type of surgery, the date, and the name of the healthcare facility where it was performed.
07
Emergency contact information: Fill out the emergency contact section with the name, relationship, and phone number of the person who should be contacted in case of an emergency. This information is crucial for healthcare providers to reach out to a trusted contact if needed.

Who needs medical history and emergency?

Medical history and emergency information is essential for everyone, regardless of their age or health status. It is particularly important for individuals with pre-existing medical conditions, chronic illnesses, or allergies. Additionally, athletes, seniors, and individuals with high-risk occupations should ensure they have accurate medical history and emergency information readily available. Medical professionals, such as doctors, nurses, and emergency responders, rely on this information to provide appropriate care and treatment in case of emergencies or routine medical appointments.
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Medical history and emergency is a document that contains important information about an individual's past medical conditions, allergies, medications, and emergency contacts.
Anyone receiving medical treatment or care is required to provide their medical history and emergency information.
Medical history and emergency forms can be filled out online, at a doctor's office, or by requesting a paper copy from a healthcare provider.
The purpose of medical history and emergency is to ensure that healthcare providers have access to important medical information in case of an emergency or during medical treatment.
Medical history and emergency forms typically require information about allergies, current medications, past medical conditions, and emergency contacts.
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