Do you have any medical issues you would like us to know? This may include allergies (what kind?), a chronic illness or medical problem, such as diabetes, asthma epilepsy (if so, what type of reaction / medication is needed?), other concerns such as compromised hearing or vision. Please tell us what - if anything - you would like us to do in case of such a medical distress or emergency, in addition to informing medical personnel as well as your emergency contact. If none, please indicate N/A. *