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ABSAROKA-BEARTOOTH OUTFITTERS MEDICAL INFORMATION FORM

 
Name
 
Emergency Contact
 
Telephone of Emergency Contact
 
Insurance Information
 
Are there medical issues that Absaroka-Beartooth Outfitters, EMS, or medical physicians attending your emergency care need to be aware of?
Yes        No
Examples: Allergic reactions to drugs, foods, insects, plants, etc., Heart conditions, Physical limitations
 
If yes, please list
 
 
Are you currently using medication?
Yes        No
 
If yes, please list medications and dosages
 
 
 
If a medical emergency occurs, I hereby grant permission to be transported if possible to the nearest medical facility. I hereby release Absaroka-Beartooth Outfitters, guides, and agents from any claims resulting from any injury or accident.
 
Date Participant/Legal Guardian
 
 
 

 


ABO offers the best in Montana hunting guides and Montana ranch vacations. 
Montana elk guides, Montana whitetail hunting, Montana mule deer hunting, Montana fly-fishing trips,
and Yellowstone area pack trips are among ABO’s many adventures. 
Visit us for the experience of a lifetime.

 

Absaroka-Beartooth Outfitters • P.O. Box 318 • Big Timber, MT 59011• (406) 579-3866 • email
Site created by Seale Studios. Photography by Ansen Seale.

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