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Call 911 or Emergency Ambulance (______)___________________________
Dr. _________________________________________ (______) _______________
Dr. _________________________________________ (______)
Child's Regular Doctor
_______________________________ Local Hospital ________________________________________________________
Address ____________________________________________________ Directions ___________________________________________________________
______________________________________________________________
______________________________________________________________
Other Numbers: (_____)__________________________________________
(_____)_________________________________________
SICKLE CELL TREATMENT CENTER TELEPHONE NUMBERS:
From 9 a.m. to 5 p.m. (_______)___________________________________
Evenings, Holidays, and Weekends (_______)_________________________
Your Child's Doctor: ______________________________________________
Hematologist (Sickle Cell Specialist)
Names of Staff: _________________________________________________
_________________________________________________
_________________________________________________
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