Can an emergency user who has view access, view and download attachments to s secure note?
Hi @Paul_W, welcome to community! 
Yes, this is possible - you are giving that user full access to your items with emergency access, provided that you either accept their request to view or you do not reject their request during the time frame you specified. More on approving or denying here and on the wait time here.
I hope that answers your question fully, but please feel free to elaborate if you’d like to know more. 
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Thats petfect, thanks