Last Updated: 8/9/26
Version: 01
Managed By: Parent
PRN:511011
Emergency Information File
Personal Information
Full Name: Maddox Vazquez
Phone Number: (725)227-2315
City/State: Las Vegas, NV
Date of Birth: 01/25/2019
Gender at Birth: Male
Emergency Contact #1
Name: Jessica Gregory
Relationship: Mother
Phone Number: (725)227-2315
Emergency Contact #2
Name: Freddie Macias
Relationship: Father
Phone Number: (702)572-2167
Important Emergency Information
Known Allergies: None
Known Medical Conditions: None
Current Medications: None
Behavioral/Sensory Triggers: None
Additional Information: Call Mom/Dad in an emergency
**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 EmergiScan does not independently verify submitted information and is not responsible for inaccuracies, omissions, outdated information, or medical decisions made based on this file.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**