Free Emergency Information Binder

Instruction manual

How to use this binder

Use these steps as a printable setup guide before the individual worksheets.

Print this master checklist so you can gather details before filling out individual pages.
Fill out the general emergency face sheet first as the front-page summary.
Choose any specialized face sheets that match the person's situation.
Use the document inventory to note where originals and reviewed copies are stored.
Keep the binder, and any compact copies, somewhere trusted helpers can find quickly.
Review and replace pages whenever contacts, medications, providers, or instructions change.
When you are ready, use the gathered information to create a free YourEMR profile.

Master checklist

Emergency information to gather

Use these static boxes for print readability. Do not include Social Security numbers, passwords, door codes, full financial information, or details that are not needed in an emergency copy.

Identity and basic emergency information

Full name, preferred name, date of birth or age, and current photo if usefulPreferred language and whether an interpreter may be neededCurrent phone number and address only if safe and useful on the copyLast reviewed date for the front page

Emergency contacts and caregivers

Primary emergency contact and backup contactFamily, guardian, caregiver, school, or home-health contacts as applicableRelationship, phone numbers, and brief notes about who to call first

Medical basics

Critical alerts or a note that none are reportedAllergies and reactions, or no known allergiesMedications, dosages, schedule notes, and pharmacy sourceMedical conditions, important history, and baseline status

Care team and preferred care locations

Primary care providerSpecialists, pharmacy, preferred hospital, and preferred health networkCare preference notes that help a trusted helper find the right next contact

Equipment, devices, and support needs

Implants, devices, medical equipment, supplies, and where they are keptCommunication, mobility, sensory, cognitive, or accessibility needsCaregiver instructions, care-plan location, and what is typical for the person

Insurance, documents, and review

Insurance company, plan, member ID, group number, pharmacy benefit details, and insurance phone if supported and appropriateAdvance directive, healthcare proxy, decision-maker, or care-plan locationRelevant supporting documents and where originals are storedReviewed date on each section before replacing old copies

Choose specialized sheets

Add pages that fit the situation

These links use the existing YourEMR free face-sheet library and preserve the current routes and downloads.

ALS Emergency InformationPreferred name, Date of birth, Emergency contacts, Primary caregiver Autism / Sensory NeedsPreferred name, Communication style, AAC tools, Sensory needs Dementia / Memory CarePreferred name, Date of birth, Home address, Emergency contacts Diabetes / CGMDiabetes type, Insulin use, CGM details, Pump details Seizure / EpilepsySeizure type, Usual seizure pattern, Triggers, Seizure action plan Trach / AirwayTrach type, Trach size, Backup trach size, Cuff status Neck BreatherNeck breather status, Laryngectomy status, Stoma notes, Lary tube if used COPD / OxygenCondition summary, Oxygen use status, Oxygen supplier, Equipment notes Medically Complex ChildDiagnoses, Baseline status, Devices, Feeding needs Older Adult Living AloneEmergency contacts, Adult children, POA contacts, Doctors Medication ListPerson's name, Date of birth, Medication name, Dose as written Home Medical EquipmentEquipment list, DME supplier, Vendor contacts, Device card location Doctor ContactsPerson's name, Primary doctor, Specialists, Pharmacy Caregiver BinderPerson's name, Date of birth, Emergency contacts, Primary caregiver

Browse the entire free emergency face-sheet library

Supporting documents

Document inventory

YourEMR supports saving document scans inside a profile for review. For the paper binder, use this inventory to point trusted helpers to originals and reviewed copies.

Document or recordWhere the original is storedWho knows where to find itDate last reviewed

Medical-device cards

Advance directive or healthcare proxy

Hospital discharge instructions

Insurance cards

Care plans

Medication list source

Specialist instructions

School, home-health, or caregiver plans

Maintenance

Keep the paper copy current

Review information when medications, providers, contacts, or instructions change.
Replace outdated printed copies and securely destroy old ones.
Mark each page with a reviewed date.
Tell trusted people where the binder is kept.
Keep an appropriate compact copy in a wallet, purse, go-bag, school packet, or caregiver binder.
Avoid placing unnecessary highly sensitive information in a visible binder.

Use both when appropriate

Paper and YourEMR can work together

Paper works without a phone, internet connection, or power. YourEMR can make information easier to update, access away from the physical binder, selectively share in a current emergency view, and print again when details change.

You have already gathered the hard part. Add the same information to a free YourEMR profile so it is easier to update, print, and share when appropriate.

Compare Paper vs YourEMR Create Free Account

Build a Free Emergency Information Binder