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Travel with Baby Emergency Information FormEmergency Information Form:Traveling With ChildrenThis document will help you in an emergency. Print out two copies and fill in the blanks. Keep one copy with you, and give one to your spouse or traveling companion. Also, be sure to pack your child's prescription medicines (and bring them along if you have to take your child to a doctor or an emergency room) and a first-aid kit so you can cope with minor medical problems. My child's name:_________________________ Age:__________ Height and weight:________________________________________ Address:_______________________________________________________________ Phone:______________________ Social security number:____________________________________
My child's doctor at home:_____________________________________ If possible, get a referral from your pediatrician before you leave:_____________________ Phone:____________________
Be sure to take health insurance ID cards with you, and before you depart, check your policy or call your insurance company to check on coverage when you're away from home. Company name:________________________________________
Name:_________________________________________ Name:_________________________________________
Preexisting conditions:_____________________________________________________ Immunization history (attach a vaccination record to this sheet):_________________________________________________________________ Visit the Babies Travel Lite Travel Guide for more helpful travel tips and other useful travel information.
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Doctors 
My child's health insurance 
Emergency contacts 
My child's medical history