Have this information posted near telephones or on the refrigerator, where it can be used by anyone in the household in case of emergency.
Personal Information
- Name
- Date of Birth
- Address
- Phone
- SS #
- Supplemental Insurance #
- Medicaid #
- Medicare #
- Current Medications
- Exact Location of Do Not Resuscitate Order
Emergency Numbers
- Fire
- Police
- Ambulance
- Hospital
- Doctor
- Drugstore
- Open Till
- Delivers
- Family Caregiver Work Number
- Alternate Caregiver
- Home Health Care Agency
- Medicare Toll Free Number
- Insurance
- Medical Equipment Company
- Poison Control
- Friend
- Neighbor
- Relative
- Clergy/Rabbi
- Transport Number
- Meals-on-Wheels
- Shopping Assistance
- Directions for Driving to the House
