DAST Emergency Contact and Medical Information Form - dastonline 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the child's name and date of birth in the designated fields. This information is crucial for identifying your child in case of emergencies.
3. Fill in the parent’s or guardian’s names along with their home and work phone numbers. Ensure that all contact details are accurate for quick communication.
4. Provide the addresses and city, state, ZIP code for both parents/guardians. This helps in establishing a reliable point of contact.
5. List alternative emergency contacts by filling out their names, phone numbers, and addresses. Include both primary and secondary contacts to ensure comprehensive coverage.
6. In the medical information section, specify your preferred hospital or clinic, physician's name, phone number, insurance company, and policy number.
7. Indicate any allergies or special health considerations that may be relevant during emergencies.
8. Review the authorization statement regarding medical treatment and sign where indicated. Also, provide a signature for field trip permissions if applicable.

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