Last Updated: 5/13/26
Version: 1
Managed By: Legal Guardian
PRN: 511002
Emergency Information File
Personal Information
Full Name: Adelynn Stein
City/State: Concord, North Carolina
Date of Birth: 1/5/2022
Gender at Birth: Female
Emergency Contact #1
Name: Rachel Stein
Relationship: Mother
Phone Number: 864-612-8482
Emergency Contact #2
Name: Jared Stein
Relationship: Father
Phone Number: 607-427-2475
Important Emergency Information
Known Allergies: N/A
Known Medical Conditions: N/A
Current Medications: N/A
**This information is provided by the patient and/or legal guardian for emergency informational purposes only. EmergiScan does not independently verify submitted information and is not responsible for inaccuracies, omissions, outdated information, or medical decisions made based on this file. This file is not a substitute for professional medical records, diagnosis, or emergency medical services**