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| This Card Can Save Your Life!! The MEDICAL I.D. CARD is a plastic wallet card containing your personal medical data. In case of emergency the card is easily read by others without being magnified. Any medical data that might help a doctor act faster should be on your card, such as drug allergies, diabetes, heart trouble, hypertension and other conditions. If you are ill or in an accident, it's all there--no phone numbers to call as with I.D. bracelets. Emergency care begins at once to... ...Save Your Life. Your personal medical data is permanently mounted in the plastic Medical I.d. Card. Advantages: *Provides a great deal of valuable medical information *Handy card size *Provides data needed for treatment if you are unconscious or unable to communicate. *Durable plastic protects yoru data file. *Low cost. Every family member should have one. *This information could be vital if you are allergic to certain medications, diabetic, or other health problems. Order now Only $8.95 Your life... ...may depend on it To order, Print this page and carefully with black ball point pen, print the following information: --------------------------------------------------------------------------------------------------------- FULL NAME_____________________________________________________________________________________ ADDRESS______________________________________________________________________________________ CITY__________________________________STATE____________________________ZIP____________________ PHONE_________________________________________________________________________________________ BIRTHDATE_______________________________________SOC. SEC. #___________________________________ DOCTOR__________________________________________PHONE_______________________________________ PLEASE NOTIFY___________________________________PHONE________________________________________ INSURANCE CO.___________________________________POLICY #_______________________________________ BLOOD TYPE________________________________________________BLOOD PRESSURE_____HIGH_____LOW _____ANEMIA _____DIABETES _____EMPHYSEMA _____HEART TROUBLE _____HEPATITIS _____PACEMAKER _____CONTACT LENSES _____ASTHMA _____HEMOPHILIA MEDICAL CONDITION(S):_____________________________________________________________________________ ___________________________________________________________________________________________________ ALLERGIES:________________________________________________________________________________________ ___________________________________________________________________________________________________ TAKING MEDICATION FOR:___________________________________________________________________________ ___________________________________________________________________________________________________ I certify all information is accurate to the best of my knowledge. I agree to hold harmless of all liability for all reasons this company and all attending medical personnel forever. Sign below. ______________________________________________________________ __________________________ signature date To order yoru Personalized Medical I.D. Card, please send $8.95 Cash, Check, or Money Order to the address below. C. Brown 11520 West State Rd. 32 Yorktown, Indiana 47396-9400 |
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