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ParentFile

Blank one-page ER sheet

Choose your paper size and print. Fill it in with a pen, copying medication names and directions straight from the labels, and date it each time you check it. Want it filled in from photos instead? See ParentFile.

Paper size

Emergency medical information

For paramedics and hospital staff

Keep on the fridge
and in your bag

Full name
Date of birth
Blood type
Address
Phone
Language
NHS no. (UK) / Medicare or ID no.
GP practice (UK) / Primary doctor
ALLERGIES (and reaction)

Conditions (as written on documents)

DNR / POLST / advance directive is kept at

Current medications (copy from the label)

Medication and strengthDirections as written on labelPrescriber

Emergency contacts (name, relationship, phone)

Doctors and pharmacy (name, phone)

Insurance (carrier, member ID)

Healthcare proxy / POA (UK: LPA health & welfare)

Last checked: ______________ by ______________Organized by family. Verify with prescriber/pharmacist. Not medical advice. getparentfile.com