Emergency medication. Where medication is to be taken as an emergency response for asthma or anaphylaxis, please complete: • an Asthma Action Plan and/or • an ASCIA Anaphylaxis Action Plan.
Emergency medication. If you have an emergency or scheduled doctor/dentist appointment, where you are given any narcotic or benzodiazepine, you must contact your house manage immediately with proof of prescription and/or permission to contact your healthcare provider. Initial I hereby acknowledge that I have read and understand this Sunlight Sober Living LLC Medication Policy and will adhere to the above rules. Program Participant Signature Manager Signature Date Sunlight Sober Living LLC Admission Information Full Name (First, Middle, Last): List Of Medications: Previous Address: Email Address: Cell Phone Number: Alternative Number: Date of Birth: SS#: ID/Driver’s License (#/State): Emergency Contact Name: Relationship: Contact Cell Phone Number: Contact Alternative Number: Have you ever been convicted of a crime? Yes No (If Yes, Please explain below) Are you presently in a court case or in the legal system with charges pending No (If Yes, Please explain below) List any (current) Parole or Probation Officers and contact numbers: Have you ever been in a Treatment Facility? Yes No (If yes, which one?)
Emergency medication. This type of medication must be readily available in an emergency. A copy of the consent form must be kept with the medication and must include clear, precise details of the action to be taken. The procedures should identify: • Where medication is to be stored. • Who should collect it in an emergency. • Who should stay with the child. • When to arrange for an ambulance/medical support. • Recording systems. • Supervision of other pupils nearby. • Support for children witnessing the event. If the child is carrying their own emergency medication the procedure for administration should also be with the medication
