"Staff Emergency Card Template"

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STAFF EMERGENCY CARD
STAFF NAME______________________________________________
ADDRESS_________________________________________________
PHONE NUMBER__________________________________________
BIRTHDATE_______________________________________________
CONTACTS:
CONTACT #1____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
CONTACT #2____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
CONTACT #3____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
MEDICAL CONCERNS:
ALLERGIES__________________________________________________________________
SPECIAL MEDICAL CONCERNS AND NOTES____________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
STAFF EMERGENCY CARD
STAFF NAME______________________________________________
ADDRESS_________________________________________________
PHONE NUMBER__________________________________________
BIRTHDATE_______________________________________________
CONTACTS:
CONTACT #1____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
CONTACT #2____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
CONTACT #3____________________________ RELATIONSHIP_____________________
PHONE #1____________________________________________________________________
PHONE #2____________________________________________________________________
MEDICAL CONCERNS:
ALLERGIES__________________________________________________________________
SPECIAL MEDICAL CONCERNS AND NOTES____________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________