This information is shared to help during an emergency. Please use the details below to contact family or emergency services.
Emergency
Basic Information
Name
:
Deacon St.John
Gender
:
Male
Blood group
:
AB+
Height
:
178 Cm
Weight
:
76 Kg
Primary phone
:
+1 541 555 0198
Identification mark
:
Scar on left forearm
Emergency Contacts
Exact Address Location
Unit / Building
:
Lost Lake Cabin, Unit 8
Street / Landmark
:
Cascade Wilderness Route
City / Town
:
Lost Lake Camp
Postal Code
:
97001
Region
:
Oregon
Country
:
United States
Medical Information
Allergies
:
Smoke inhalation sensitivity
Medical conditions
:
Mild shoulder injury
Medications
:
Pain relief (as required)
Organ donor
:
Yes
Health notes
:
History of injuries from road accidents. Respond calmly and avoid sudden movements.
Health Insurance
Insurance provider
:
Cascade Health Services
Policy ID
:
CHS-OR-449812
Coverage
:
$100,000
Preferred hospitals
:
Marion County Medical Center, Santiam Regional Hospital
Insurance notes
:
Emergency treatment covered at listed regional hospitals.
Nearby Emergency Service
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