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The emergency contact form should request that the employee provide the name, home phone number, cell phone number, and email address of at least two people to contact in the event of an emergency.
Make sure you know which local hospitals are covered in-network on your insurance, and include this emergency contact number. Write your doctor's full name, office numbers, after-hour office numbers, and non-emergency numbers for other providers. Also, include any non-emergency numbers for the police or ambulance.
An emergency contact is the first person medical personnel will get in touch with in an emergency, but your emergency contact may not have the legal authority to act on your behalf unless you explicitly provide that power.
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