This card once completed , will only be opened in an emergency. It is very important that the information contained is up to date and correct.
| Medical |
IMAGE OF RED CROSS HERE
Information Emergency contact +44 (0)
|For Emergency Personnel Please cut out of lamination Medical Information for: After Printing cut page to bottom of detail Fold: After folding Laminate & Update regularly||Allergies: Conditions: Medication / Dosage / Reason: Other (not-prescribed): Form completed:|
|Personal Information: Name: Address: United Kingdom Personal mobile: +44 (0) Age: D.O.B. Useful information for emergency services specific to this trip: Personal vehicle: Boat: Club: Bramston Canoe Club||Next of Kin: Name: Address: United Kingdom Tel: +44 (0) Mobile: +44 (0) Email: Alternative Contact: Name: Address: Mobile: +44 (0) Telephone: +44 (0) Email: Relationship: Family / Friend / Neighbour / Guardian||Medical: Doctor: Address: Telephone: +44 (0) Email:|