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IN CASE OF EMERGENCY VS SOCCER RELEASE WAIVER OF LIABILITY MEDICAL HISTORY FORM PLEASE PRINT NEATLY. —ALL AREAS OF THIS FORM MUST BE COMPLETED AND SIGNED PRIOR TO PARTICIPATION Camper s Name: Age:
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How to fill out in case of emergency:

01
Start by gathering all the necessary information. This includes your full name, address, phone number, and emergency contacts. It's important to provide accurate and up-to-date information.
02
Next, list any medical conditions or allergies that you have. This information can be crucial for first responders or medical personnel to provide appropriate care.
03
Indicate any medications you are currently taking. Include the name of the medication, dosage, and frequency. This will help ensure that you receive the correct treatment even if you are unable to communicate.
04
Include the name and contact information of your primary healthcare provider. This way, emergency responders can easily reach out to them for additional information or guidance.
05
Specify any relevant medical history. If you have had surgeries, chronic illnesses, or any other important medical events, be sure to include them in your emergency form.
06
If you have any specific wishes or preferences in case of emergency, clearly state them in the form. For example, if you have a preference for a specific hospital or if you have a living will/advance directive, ensure that this information is documented.

Who needs in case of emergency:

01
Anyone and everyone can benefit from having an emergency contact form completed. Accidents and unexpected emergencies can happen to anyone, regardless of their age, health, or lifestyle.
02
Individuals with existing medical conditions or allergies should especially prioritize filling out an emergency form. This information can be crucial for medical professionals to provide timely and appropriate treatment.
03
People who regularly take medications or have complex medical histories should also consider filling out an emergency form. This ensures that critical information is readily available in case of an emergency when communication might be difficult.
04
It's also advisable for individuals who live alone or have limited support networks to have an emergency form completed. This can help emergency responders quickly contact someone who can provide necessary information or make important decisions on their behalf.
Remember, it's essential to update your emergency contact form regularly to reflect any changes in your personal information, medical conditions, or emergency contacts.
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In case of emergency refers to a plan or procedure to follow during a crisis or unexpected event.
Various entities or individuals may be required to file depending on the specific situation.
The process of filling out an emergency plan or report involves detailing necessary information and procedures to follow in case of a crisis.
The purpose of an emergency plan is to ensure a coordinated and effective response to unexpected events in order to protect lives and property.
Information to be reported may include contact information, emergency procedures, evacuation routes, and communication protocols.
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