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Old 01-07-2010, 12:05 PM   #1
LadybugSam
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ladybug, ladybug fly away home
 
Join Date: Mar 2005
Location: Central California
Posts: 18,187
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Default Medical Info Sheet for your kids (for homekeeping binder)

I wanted to share with you what i have on my son's emergency sheet, it has all his basic health info on it, and its also a blank permission sheet for the babysitter in case there is ever an emergency when we are not around.

In my absence on ______ I authorize emergency medical treatment for Child's first and last name who is in the care of _________________________ (I leave these blank so it can be re-used each time we take him to the babysitter's)

Child's Full Name
DOB:
Blood Type: (I have my son's blood type bolded because he's O neg)
Allergies
Prescriptions
Medical Diagnosis (if it is important, bold it, if it will not affect treatment, leave it unbolded, i noted that my son is autistic and might have trouble following directions and answering questions)


Parents:
Me and Hubby
home and cell #s


Emergency Contact: Grandparents
Grandparent's names
Home and cell #s

Insurance Info: Insurance Carrier

Insurance ID #:
Group #
Coverage Code
Plan Code

Pediatrician:
Practice
Doctor
Address
Phone


________________________________________
My Name, Mother


________________________________________
Hubby's Name, Father

I keep it signed and in my folder. The grandparents also have a signed copy (they're usually our only babysitters) I try to keep an updated photo with it, just in case, but i'm awful and keeping current photos

HTH
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Old 01-07-2010, 12:12 PM   #2
Codi
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Default Re: Medical Info Sheet for your kids (for homekeeping binder)

Perfect!
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