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Personal Pocket Emergency
Card
Name:_________________________________________
DOB:________________ Blood
Type:_______________
Contact Person:
_________________________________
Tel:
_________________________________________
Physician:
_____________________________________
Tel:
__________________________________________
Fold Here
Allergies:
______________________________________
Meds Taken:
_______________________________________
Medical Condition(s):
_________________________________
Other Information:
___________________________________
Glasses? (Y) (N) Contact
Lenses? (Y) (N)
NATIONAL POISON CENTER
1-800-222-1222
www.HomeStepSafety.com
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