In an emergency, the person who knows everything may not be in the room. This one-page
sheet tells first responders, ER staff, and helpers exactly what they need โ free to print.
Where this sheet earns its keep
Paramedics are trained to look for exactly this: many communities run "Vial of Life"-style
programs where a completed medical sheet lives on the refrigerator door (or in a
marked container in the fridge), because that's where responders check first. A second copy travels
to the hospital, where admissions will ask for insurance details and medication history at the worst
possible moment to be reconstructing them from memory.
Emergency information
This sheet is about
Full name:
Date of birth:
Address:
Preferred hospital:
Primary language:
Blood type (if known):
Medical snapshot
โ Allergies & reactions:
Conditions (e.g. diabetes, A-fib, dementia, pacemaker):
Medications: see attached medication list (keep it stapled to this sheet)
โ or note critical ones here (blood thinners, insulin, seizure meds):
Who to call
Emergency contact 1 โ name & relationship:
Phone:
Emergency contact 2 โ name & relationship:
Phone:
Primary physician:
Phone:
Pharmacy:
Phone:
Coverage & documents
Insurance / Medicare plan:
Member ID:
Healthcare power of attorney โ who:
Their phone:
Where the documents live (POA, advance directive, insurance cards, med list):
Good to know
Hearing aids? Glasses? Mobility help? Pets at home? Anything responders or
hospital staff should know:
Sheet updated on:
Updated by:
The version the whole family can always find
CareHub keeps this information in a shared Vault โ emergency contacts,
insurance, directives, and the documents themselves โ visible to exactly the family members you
choose, from any phone, the moment it's needed. Everyone you invite joins free.
Start free โ no card needed
See the live demo