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Client Handbook

Emergency Contact Numbers


Fire: 911 Name: _________________________________
Police: 911 Address: _________________________________
Paramedic: 911 Phone #: _________________________________

Poison Control Hotline: 1 800-222-1222

Non-Emergency Police: (______) ________-____________
Electric Utility Company: (______) ________-____________
Primary Hospital: (______) ________-____________
Local Hospital: (______) ________-____________
Primary Physician: (______) ________-____________
Equipment Company: (______) ________-____________
Emergency Contact: (______) ________-____________
Mom Work (______) ________-____________
Mom Cell (______) ________-____________
Dad Work (______) ________-____________
Dad Cell (______) ________-____________
Other 1: (______) ________-____________ Who: ____________
Other 2: (______) ________-____________ Who: ____________

Is there more than 1 exit, if so check all that apply:

☐ Front Door ☐ Back Door ☐ Side Door
☐ Garage Door☐ Window ☐ Other: ___________________

Meeting point after evacuation: ______________________________

Location of fire extinguisher: ________________________________



Topic(s) that follow:

Intravenous Instructions



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