This form is intended for your own personal use so that you have a central location for all your vital information you may need when you are ill or have a well-being issue.
This from is utilized in our Path Houses as a way that house mates can take care of each other in an emergency. It is printed out in the “House Book” that each house maintains for running the household efficiently.
We recommend that you keep this form in a secure location and that you do not send it via an unencrypted email system, since it contains private information.