Emergency Info Form
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Emergency Medical Information Form

Emergency Medical Information Form

The Rend Lake College Emergency Medical Information Form is a PDF-based form. Adobe Reader and a functioning email client is required to digitally transmit this application.

IMPORTANT - YOU MUST USE ADOBE READER (ACROBAT) TO COMPLETE & DIGITALLY SUBMIT THIS DOCUMENT

Download Adobe Reader Here

 

There is a known-issue with Google Chrome, which causes the form to open in-browser.
If you receive the following error message in Chrome:

 

To view the full contents of this document, you need a later version of the PDF viewer. You can upgrade

to the latest version of Adobe Reader from www.adobe.com/products/acrobat/readstep2.html

For further support, go to www.adobe.com/support/products/acrreader.html 

 

Please see the steps below:

1. Ensure that Adobe Acrobat Reader is installed
2. Click The Download Button Below
3. Open the link from your downloaded items folder with Adobe Reader by right-clicking and choosing "Open With" then select "Adobe Acrobat Reader"

 

Alternate Instructions for submitting:

1. Fill out the RLC Emergency Medical Information Form
2. Save The Completed Application to your device (recommend: yourfullname-rlc-med-info.pdf)
3. Send message to: emergency-med-info@forms.rlc.edu