Delaware Department of Education regulation 811 states: A Delaware Emergency Treatment Card shall be on file for every child enrolled in the Delaware Public Education system and the card must contain at a minimum, requests for the following information: student's name, birth date, school district, school, grade, homeroom or teacher, home address, home phone, mother/guardian's name and/or father/guardian's name, their place of employment and work phone, two other names, addresses and phone numbers for times when the parent or guardian can not be reached, family physician, name and phone, family dentist, name and phone, student's medical problems and allergies, the student's medical insurance the parent/guardian's signature. This information may be shared on a need to know basis.

Please make every effort to send a complete emergency card to school for the safety of your child. One purpose of this form is to assist the nurse and other school personnel in reaching parents/guardians should a medical emergency arise. In the absence of this form, the school may not be able to provide full or immediate treatment. During the course of the school year, should this information change, please notify the school nurse so that we can update your child's card.