Stanley Hose Company - Sherman, New York - OFFICIAL WEBSITE

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The Stanley Hose Company encourages its residents to download the medical form for you and your family to print off and fill out. This form will provide our EMT's and the emergency room department valuable information in case of an emergency. If this information is available in written form upon on our arrival during your time of need, it will mean less time spent on scene. This form will mean less time spent asking questions and more time spent on patient care.

In the section labeled Medical History write in any medical issues you've experienced in the past i.e. heart attack, stroke, diabetes, high blood pressure, asthma, anything that is pertinent to your care.

In the section labeled Medications write in all medications that you are taking. Also it is important to add the amount and how many times a day you take it. For example: Lipitor-80 mg-once daily.

In the section labeled Allergies, include any allergies that you have. Examples include: medicines such as penicillin, latex found on EMS gloves, food allergies, and environmental allergies like bee stings.

It is important to keep this form updated. If you have changes during the year make sure you correct them on your current form or print off a new form.

A good place to keep this form is in an envelope, clearly labeled on your refrigerator. This makes it accessible in case you or a family member is the only one home during an emergency. All information reported in this form will remain confidential. If you have questions please feel free to contact us the Stanley Hose Company Fire Department.