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This purpose of this form is for you to keep information for yourself or a loved one in a place where our firefighters can readily have access to it in times of emergencies. During emergencies, you or a family member may be upset and unable to recall vital information relating to the patient.
By following these simple steps, this information will always be at hand and allow the Emergency Staff to handle your emergency without delay:
- Fill out this form to the best of your ability - ONE form per relative or occupant in your home - Place this form on the front of your refrigerator with a magnet - Update this form yearly or when information changes
Our firefighters will check your refrigerator in times when you or your loved one may be unconscious or unable to retrieve this informational card yourself.
If you have any questions, please feel free to contact us at:
Saline Valley House #1 (636) 343-9300 1771 Springdale Blvd. Fenton, MO 63026 www.salinevalleyfire.com |
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Click the icon above for our Emergency Info Form |
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Ever worry about your child receiving emergency care when you are away or they are spending the night or weekend with a friend? There are forms available that you can fill out and grant permission to a responsible adult to make emergency medical decisions when you are not available. Click on the Children’s Hospital Logo below for more information. |