DOJ-OGR-00015787.jpg

MEDICAL EMERGENCY Call 911 as soon as possible. Give them as much information as you can. Tell them what happened and the current condition of the patient. If you are unable to get help, drive the patient to the Good Samaritan Hospital. 1309 North Flagler Drive, West Palm Beach. Call the hospital on route and tell them that you are on your way. EMERGENCY CONTACT INFORMATION GUEST NAME: ALLERGIES: CONTACT NAME: CONTACT TELEPHONE: HOME WORK PORTABLE THANK YOU! 2/14/2005 58 DOJ-OGR-00015787