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Emergency Information Sheet

Emergency information sheet for the fridge, in large print: an 8-page printable PDF of blank forms that keep a person's emergency details in one place, on one page or on two pages with more room, plus folding wallet cards and two notes that say where the sheet is kept. The one-page sheet is the emergency page from our Caregiver Binder, made to stand alone.

$1.99printable PDF

  • Instant download
  • 8 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

You buy it in our Etsy shop and download the files right after checkout.

  • Cover: the Emergency Information Sheet, with the one-page sheet filled in with an invented example in front of the health page and the wallet cards.
  • What's inside, 8 pages: the one-page sheet, the two-page version (health and medications, people and insurance), the wallet cards and the notes that say where the sheet is kept.
  • The one-page emergency sheet twice: filled in with invented names and 555 phone numbers, and blank.
  • The two-page version filled in with an invented example: health and medications with three example medications, and people and insurance.
  • Close-up of the wallet cards: two of the three folding cards, filled in with the name, who to call, conditions, allergies, medicines and the main doctor.
  • Close-up of a note to cut out: emergency information for Ruth Alvarez is kept on the fridge, in a clear sleeve.
  • How it works: download two PDF files, type or write, print at actual size, then the sheet on the fridge, a note by the door and a card in the wallet. Blank forms with no advice.

7 pictures: swipe to see them all, tap one to zoom.

What’s inside

8 pages in each PDF

  1. Start here: what's inside and how to print and fill in1 page
  2. Emergency information on one page: name, date of birth, home phone, address, languages and communication, conditions, allergies, medicines, main doctor, other doctor and pharmacy with phone numbers, two people to call, insurance and the date it was updated1 page
  3. Health and medications, the first of the two pages: name, date of birth, blood type, communication, conditions, allergies, devices and aids, a 7-line medications table (medication, strength, dose, when) and where the full medication list is kept1 page
  4. People and insurance, the second of the two pages: home phone and address, 4 people to call, main doctor, other doctor, pharmacy and hospital with phone numbers, two insurance lines, other things to know and where important papers are kept1 page
  5. Wallet cards: 3 folding cards, bank-card size, with the name, who to call, conditions, allergies, medicines and the main doctor1 page
  6. Where the sheet is kept: 2 notes to cut out, one for the fridge door and one for inside the front door1 page
  7. Personal-use license and about these pages2 pages

$1.99printable PDF

  • Instant download
  • 8 pages in each PDF
  • US Letter and A4
  • Fill-in fields need the free Adobe Acrobat Reader

Who it is for

Anyone who keeps a person's health details, doctors and people to call on the fridge: older adults living at home, and the family caregivers who help them.

How it works

  1. Type before you print, in the free Adobe Acrobat Reader, or print the pages and write by hand. Long names shrink to fit.
  2. Type the name once: it fills in on every form page, the wallet cards and notes included. The address, date of birth, phone numbers, doctors, people to call and insurance fill in on both versions.
  3. Keep the sheet on the fridge in a clear sleeve, and put a note where it will be seen first.
  4. Write the date next to Updated whenever something changes.

Sizes and format

  • 2 PDF files: US Letter (8.5 x 11 in) and A4, 8 pages each
  • Large print: page titles 26 pt, labels 18 pt (the wallet cards are smaller, to fit a wallet)
  • Folded, each wallet card is bank-card size (85.6 x 54 mm) when printed at actual size
  • The fill-in fields need the free Adobe Acrobat Reader
  • Blank forms, text and lines, with red bands on the cards and notes: no illustrations, no advice
  • Instant download. No physical item is shipped.

The files

  • US LetterPDF, 8 pages, 144 KB
  • A4PDF, 8 pages, 144 KB

Your license

For personal use in one household: print as many copies as you need, and please don't share or resell the files.

Buy on Etsy, $1.99