Upon arrival at the Station you will be asked to complete a Medical Disclosure and Emergency Contact form. To expedite check-in we ask that you download the PDF and arrive with a completed form.
The Medical Disclosure and Emergency Contact form provides medical information that may be necessary in the event of serious illness or accident. The facts you disclose will be kept confidential and will be kept on file with the station safety coordinator. The information provided will be given to others (medical personnel, staff, etc.) only in an emergency situation. This form is for your protection, the more complete the form, the better the medical treatment you may receive, if needed. Failure to disclose accurate and complete information could compound the seriousness of an accident or illness, particularly if you are unable to respond clearly to the medical responders inquiries.
Because of confidentiality issues the Medical Disclosure and Emergency Contact information can not be Web Based at this time.
Each Toolik Field Station project member must have medical/accident insurance that will cover the expenses of serious illness or accident, as well as accidental death and dismemberment coverage, and emergency evacuation. You must check with your health plan to verify that coverage applies. Project members are responsible for all expenses in the event that they become ill, injured, or require emergency evacuation.
Documents• Medical Disclosure and Emergency Contact Form
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