Keep this sheet on your fridge or in your wallet. It tells emergency workers who to call and gives them your basic health information.

Primary Emergency Contacts

First contact's name and relationship to you.
First contact's home and cell phone numbers.
Second contact's name and relationship to you.
Second contact's home and cell phone numbers.
Note who has your medical power of attorney.

Medical Care Team

Primary care doctor's name and phone number.
Heart doctor or other specialist's name and phone number.
Preferred hospital name.
Health insurance company name and phone number.
Your policy or member ID number.

Critical Health Details

Major medical conditions like diabetes or heart disease.
Devices you have like a pacemaker.
Severe allergies to medicines or food.
Medicines you must take every day.
Communication needs like a hearing impairment.

Tip: Due to HIPAA privacy rules, make sure your doctors have your written permission on file to speak to your emergency contacts.

This checklist is educational information only. It is not medical, legal, or financial advice. Confirm details with your insurer, provider, or an official government source.

Emergency Contact Sheet

Personal Information

Primary Emergency Contacts

Medical Care Team

Critical Health Details