Burrell College of Osteopathic Medicine Emergency Card

  • (Please provide -your- cell number). This will be the number we use for out Informacast System which will notify you via text should a campus emergency or situation that warrants a notification should arise (power outages, inclement weather, school closure, etc).
  • Please give the names of two relatives, friends, roommate(s), who you would like us to contact in case of an emergency or illness.
  • Date Format: MM slash DD slash YYYY