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Print Form EMERGENCY CONSENT CARD FIRST NAME LAST NAME SEX BIRTHDATE ADDRESS PARENT / GUARDIAN NAME HOME# WORK# CELL# PARENT / GUARDIAN NAME HOME# WORK# CELL# EMERGENCY CONTACT TEL CHILD IS DOCTOR
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How to fill out emergency - consent card

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How to fill out an emergency - consent card:

01
Obtain a consent card: The first step is to obtain an emergency - consent card. You can typically get one from your local healthcare provider, hospital, or emergency response organizations. They may also be available online for download or through certain healthcare apps.
02
Fill in personal information: Start by providing your full name, address, and contact information. This ensures that emergency responders can easily identify you and reach out to your designated emergency contacts.
03
Identify emergency contacts: Write down the names and contact details of trusted individuals who can be contacted in case of an emergency. These could be family members, close friends, or neighbors. Make sure to notify them beforehand about being listed as your emergency contacts.
04
Specify any medical conditions or allergies: If you have any known medical conditions, allergies, or take medications regularly, it is crucial to include this information on the consent card. This will allow healthcare professionals to provide appropriate care or take necessary precautions if required.
05
Include any specific instructions: If there are any specific instructions or considerations that emergency responders should be aware of, make sure to include them on the consent card. For instance, if you have a pacemaker or require special equipment, mention it clearly to ensure appropriate care.
06
Keep the card accessible: Once you have filled out the consent card, keep it in a safe and easily accessible location. Some popular options include your wallet, purse, or attaching it to a keychain. Additionally, inform your close ones about the existence and location of the card for their reference.

Who needs an emergency - consent card?

An emergency - consent card is recommended for anyone who wants to proactively ensure their safety and facilitate timely and effective care in case of an emergency. It is especially relevant for individuals with chronic medical conditions, severe allergies, or those who require specific treatments. Having an emergency - consent card can provide peace of mind, knowing that essential information will be readily available to healthcare professionals and emergency responders when needed.
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