Telefones de Emergncias

ME __________________________________________________________________________
TELEFONES PARA CONTATOS __________________ / ________________ / ______________
PAI___________________________________________________________________________
TELEFONES PARA CONTATOS __________________ / ________________ / ______________
OUTRO RESPONSVEL _________________________________________________________
TELEFONES PARA CONTATOS __________________ / ________________ / ______________

PARENTES OU RESPONSVEIS MAIS PRXIMOS ______________________________________

NOME

TELEFONES__________________ / ________________ /

NOME

TELEFONES __________________ / ________________ /

PEDIATRA/MDICO CUIDADOR ______________________________________________________

CONTATOS _________________ / ________________ / ______________

EMERGNCIA MVEL (PARTICULAR) TELEFONE __________________ / ________________ /

POLCIA DISQUE 190 * SAMU - DISQUE 192 * BOMBEIROS DISQUE 193
HOSPITAL MAIS PRXIMO ________________________________________________________
ENDEREO/PONTO DE REFERNCIA _______________________________________________
TELEFONE _________________ / ________________ / ______________
TELEFONE DE RDIO-TXI _________________ / ________________ / ______________

NOME COMPLETO DO USURIO E OU DEPENDENTE:

_______________________________________ /_____________________________________
PLANO DE SADE _______________________

CATEGORIA ________________________

N CARTEIRINHA _______________________

TELEFONE _________________________

COMENTRIOS _______________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
www.organizeharmonia.blogspot.com