Bengt Sorensen

Nørregade 8
1165 Copenhagen
Denmark
5-8-1985
Male
Height: 182cm
Weight: 76kg
Eye colour: Green
Hair colour: Brown
Type of document: Passport
Document number EM137014
Organ donor: NO
Blood type: A+

Allergies

Wasp sting allergy

Medical conditions

Diabetes Type 2

Current Medications

SGLT2 inhibitors

dapagliflozin (Farxiga)

Emergency Contacts

Marie-Rose Van Bunder (wife)
0045 26200007
0045 35640137

Mikkel Sorensen (father)
0045 20126415
0045 29706297
mebbesen@gmail.com

Emergency protocol to be followed

Notify emergency contact
Marie-Rose Van Bunder (Wife)

Take care of my dog
If my dog is not with me, she is probably at my home address

Insurance

Direct Line
17020147
Worldwide Travel Insurance

Physicians

Mariele Briones
Endocrinologist
0045 24268822
Copenhagen, Denmark

Martha Brinsfield
Primary care
0045 22345251
Copenhagen, Denmark

Vaccines

Tetanus vaccine
Valid until 08/07/2021