Edit page MedicalRecords

[wiki.git] / EmergencyInfo

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-== ContactInformation ==
+== Contact Information ==
+
 e-mail: bernie-nospam@codewiz.org (remove -nospam) \\
 Phone: +1 781 244 3485
 
+See also [[ContactInformation]]
+
 == Emergency contacts ==
 
-|| **Contact**                             || **Phone**       || **Location** || **Languages Spoken** || 
-|| Irene Innocenti <piomboblu@gmail.com>   || +39-347-9385829 || Italy        || Italian, English     ||
-|| Alberto Innocenti <alberto@codewiz.org> || +39-337-677733  || Italy        || Italian, English     ||
-|| Aurora Manzi <aurora@codewiz.org>       || +39-055-482310  || Italy        || Italian              ||
+|| **Contact**        || **Relation**    || **Phone**       || **Location** || **Languages Spoken** ||
+|| Irene Innocenti    || sister          || +39-347-9385829 || Italy        || Italian, English     ||
+|| Alberto Innocenti  || father          || +39-337-677733  || Italy        || Italian, English     ||
+|| Aurora Manzi       || mother          || +39-055-482310  || Italy        || Italian              ||
+
+Healthcare proxy: Irene Innocenti
 
+I'm an organ donor: in case I become a vegetable, please take what you need and pull the plug.
 
-== Insurance ==
+== US Medical Insurance ==
+Blue Shield Blue Cross \\
+ID #: GGS465A78029 \\
+Group No: 174134M3A1
+Plan code: 040
+RxBIN/PCN: 003858/A4
+
+== Travel Medical Insurance ==
 
 International SOS - Corporate Comprehensive Access \\
 Membership: Google Inc. 11BCPA000257
 
 Philadelphia: +1-800-523-6586 or +1 215 942 8226 \\
 London: +44 20 8762 8008 \\
-Singapore: +65 6338 7800 \\
-
+Singapore: +65 6338 7800
 
 == Medical ==
-|| Blood type          || 0+ ||
+|| Blood type          || O+ ||
 || Current medications || none ||
 || Allergies           || none known ||
 
 == Immunizations ==
-Measles: 30 Jul 2009
-Rubella: 30 Jul 2009
-Mumps: 30 Jul 2009
-Tetanus-diphtheria booster
-Hepatitis B immunization
-Meningococcal
-Yellow Fever: Jan 2010
+|| Polio (sabin)         || 15 Nov 1974, 31 Jan 1975, 17 Mar 1977 ||
+|| Measles-Numps-Rubella || 30 Jul 2009 ||
+|| Hepatitis A           || 1st: 3 Jun 2008, 2nd: 30 Jul 2009 ||
+|| Hepatitis B           || 12 Nov 2009, 11 Jan 2010, 27 Jan 2011 ||
+|| Influenza             || 7 Oct 2015  ||
+|| Meningococcal         || 30 Jul 2009  ||
+|| Typhus                || 3 Jun 2008  ||
+|| Tetanus-diphtheria    || 29 Sep 1975, 29 Oct 1975, 21 Jun 1976, 17 Dec 1980, 03 Jun 2008 ||
+|| TdaP (Td + pertussis) || 04 Feb 2016 ||
+|| Yellow Fever          || Jan 2010 -> Jan 2020 ||
+