Emergency Medical Information Form

February 1st, 2013 by Keith Hutchinson

The Emergency Medical Information form includes sections for emergency contacts, a primary care physician, medical conditions, and medications. Residents also can attach photos for identification and copies of documents like a living will or DNR directive.

The form is not to be turned in to the police or fire department or EMS, but is for residents to keep in their home to aid first responders in an emergency. Download, fill out, print, and post on your refrigerator or keep one in the glove box in your car.

Emergency Medical Information Form

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