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For your safety and well-being, we require all individuals to complete the Emergency Contact and Medical Form. This important document helps us respond effectively in case of a medical emergency or other urgent situations while you are on our premises.

 

The form will ask for your emergency contact details, any known medical conditions, allergies, and preferences for emergency medical treatment. Providing this information ensures that we can offer you the fastest and most appropriate care if the need arises.

 

Please fill out the form accurately and update us if any of your information changes in the future. Your health and safety are our top priorities, and having this information on hand is crucial for your protection.

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Appropriately Located in the Heart of the Piedmont Triad.

106 Short Street
Kernersville, NC 27284

336-310-1550

© 2022 por Proyecto Calle Corta.

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