YourEMR - Family-controlled emergency information organizer

Free caregiver resource

Free Printable Emergency Face Sheets for Families and Caregivers

Printable emergency information sheets for families, caregivers, and people who want important health details easier to find before a stressful moment.

Choose the version that best fits your situation. Each sheet helps organize practical emergency information: medications, allergies, contacts, doctors, baseline needs, equipment notes, and key care-plan locations.

Looking for the full directory? Browse the YourEMR resource library.

Optional add-on

Need extra medication space?

Download an optional extra medication list sheet to keep with any emergency information sheet.

Download Extra Medication Sheet

Free paper backup

Not ready to create an account? Start with paper.

No problem. We still want you to be prepared. Get the free paper emergency binder checklist, print a general emergency face sheet, and choose any specialized sheets that fit your situation.

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Emergency-ready sheets for common situations

Preview of the YourEMR ALS emergency information sheet.

ALS Emergency Information Sheet

People living with ALS, family caregivers, spouse caregivers, adult children, home health aides, respite caregivers, ALS clinic and care team handoff situations, and families planning for changing communication, mobility, swallowing, or breathing needs.

  • Preferred name
  • Date of birth
  • Emergency contacts
  • Primary caregiver
View & Download
Preview of page 1 of the blank YourEMR emergency medical information sheet printable.Preview of page 2 of the blank YourEMR emergency medical information sheet printable.

Emergency Medical Information Sheet

Adults organizing their own emergency information, family caregivers, older adults, people living alone, parents, travelers, and anyone who wants key details written down before they are urgently needed.

  • Identifying details
  • Emergency contacts
  • Medications
  • Allergies
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Preview of the YourEMR medical history summary printable.

Medical History Summary

Adults, older adults, caregivers, families, travelers, people with multiple doctors, and anyone who wants a concise medical history organizer that points to current records without replacing them.

  • Preferred name
  • Date of birth
  • Emergency contacts
  • Major conditions
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Preview of the YourEMR pharmacy information sheet printable.

Pharmacy Information Sheet

People who use more than one pharmacy, family caregivers, older adults, travelers, care coordinators, and households that want pharmacy and prescribing-clinician contacts easy to find.

  • Preferred name
  • Primary pharmacy
  • Backup pharmacy
  • Pharmacy phone
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Preview of the YourEMR insurance emergency information sheet printable.

Insurance Emergency Information Sheet

Families, caregivers, older adults, travelers, college students, and anyone who wants insurance card locations and basic plan contact information easier to find during urgent paperwork or handoff situations.

  • Preferred name
  • Insurance carrier
  • Plan phone
  • Policyholder name
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Preview of the YourEMR patient portal backup sheet printable.

Patient Portal Backup Sheet

People who use more than one patient portal, caregivers, families coordinating multiple clinics, older adults, college students, and anyone who wants portal names and record locations organized without printing passwords.

  • Preferred name
  • Portal name
  • Clinic / hospital system
  • Doctor / specialist
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Preview of the YourEMR advance directive contact sheet printable.

Advance Directive Contact Sheet

Adults, older adults, caregivers, families, people with serious illness, and households that want decision-maker contacts and document locations easy to find without interpreting legal documents.

  • Preferred name
  • Decision-maker contact
  • Backup contact
  • Primary doctor
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Preview of the YourEMR emergency document checklist printable.

Emergency Document Checklist

Families, caregivers, older adults, people with complex health needs, travelers, and households building an emergency binder, folder, go-bag, or digital backup.

  • Emergency binder location
  • Medication list
  • Allergy list
  • Doctor contacts
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Preview of the YourEMR caregiver backup plan printable.

Caregiver Backup Plan

Family caregivers, spouse caregivers, adult children, respite caregivers, home health aides, long-distance caregivers, and households where another trusted person may need to step in quickly.

  • Person needing support
  • Primary caregiver
  • Backup caregiver 1
  • Backup caregiver 2
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Preview of the YourEMR medical equipment supplier contact list printable.

Medical Equipment Supplier Contact List

People who use home medical equipment, caregivers, home health aides, families managing DME suppliers, people preparing for power outages or travel, and households that want supplier contacts easy to find.

  • Preferred name
  • Emergency contact
  • Caregiver contact
  • DME supplier
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Preview of the YourEMR dementia and memory care emergency face sheet.

Dementia / Alzheimer's / Memory Care Emergency Face Sheet

Family caregivers, adult children caring for an aging parent, spouses or partners, long-distance caregivers, home health aides, respite caregivers, shared-care households, assisted living contacts, and anyone who may need to hand off essential dementia-related information quickly.

  • Preferred name
  • Date of birth
  • Home address
  • Emergency contacts
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Preview of the YourEMR COPD and oxygen emergency information sheet.

COPD / Oxygen Emergency Information Sheet

People with COPD, chronic breathing conditions, home oxygen, portable oxygen, concentrators, nebulizer equipment, or related respiratory needs, plus family caregivers, travel companions, home health aides, and trusted contacts.

  • Condition summary
  • Oxygen use status
  • Oxygen supplier
  • Equipment notes
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Preview of the YourEMR blood thinner emergency information sheet.

Blood Thinners Emergency Information Sheet

People taking anticoagulants or antiplatelet medicines, older adults, family caregivers, adult children, travel companions, home health aides, and anyone who may need medication information easy to find during an urgent handoff.

  • Medication name
  • Dose or strength
  • Frequency
  • Prescribing clinician
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Preview of the YourEMR pacemaker and ICD emergency information sheet.

Pacemaker / ICD Emergency Information Sheet

People with a pacemaker, implantable cardioverter-defibrillator (ICD), cardiac resynchronization device, or other implanted cardiac device, plus family caregivers, adult children, travel companions, and trusted helpers.

  • Device type
  • Manufacturer/model
  • Implant date
  • Device ID card location
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Preview of the YourEMR severe allergies and EpiPen emergency information sheet.

Severe Allergies / EpiPen Emergency Information Sheet

People with severe allergies or anaphylaxis risk, parents, school caregivers, babysitters, respite caregivers, coaches, travel companions, adult caregivers, and trusted helpers who need allergy information easy to find.

  • Known allergens
  • Reaction history
  • Auto-injector location
  • Action plan location
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Preview of the YourEMR fall risk and mobility emergency information sheet.

Fall Risk / Mobility Emergency Information Sheet

Older adults, people with mobility limitations, people using walkers, canes, wheelchairs, braces, prosthetics, or transfer support, plus family caregivers, adult children, home health aides, assisted living contacts, and trusted helpers.

  • Mobility aids
  • Walking baseline
  • Transfer notes
  • Wheelchair/cane/walker
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Preview of the YourEMR feeding tube emergency information sheet.

Feeding Tube Emergency Information Sheet

People who use a feeding tube, children with complex feeding needs, older adults, family caregivers, school caregivers, respite caregivers, home health aides, travel companions, and trusted helpers who need feeding-tube information easy to find.

  • Tube type
  • Nutrition/formula name
  • Supply/vendor contact
  • Ordering clinician
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Preview of the YourEMR dialysis emergency information sheet.

Dialysis Emergency Information Sheet

People receiving in-center hemodialysis, home hemodialysis, or peritoneal dialysis, plus family caregivers, transportation helpers, home health aides, travel companions, long-distance family, and trusted contacts.

  • Dialysis type
  • Usual schedule
  • Dialysis center
  • Nephrologist
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Preview of the YourEMR stroke and aphasia emergency information sheet.

Stroke / Aphasia Emergency Information Sheet

Stroke survivors, people living with aphasia, people with speech or language changes, older adults, family caregivers, communication partners, home health aides, therapists, travel companions, and trusted helpers.

  • Preferred name
  • Communication needs
  • Preferred methods
  • Aphasia notes
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Preview of the YourEMR home medical equipment emergency information sheet.

Home Medical Equipment Emergency Information Sheet

People using home medical equipment, durable medical equipment, oxygen equipment, CPAP or BiPAP, wheelchairs, hospital beds, infusion pumps, monitoring devices, feeding supplies, or other home supports, plus families and caregivers.

  • Equipment list
  • DME supplier
  • Vendor contacts
  • Device card location
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Preview of the YourEMR cancer and chemo emergency information sheet.

Cancer / Chemo Emergency Information Sheet

People receiving cancer treatment, chemotherapy, immunotherapy, radiation, infusion therapy, or follow-up oncology care, plus family caregivers, transportation helpers, home health aides, travel companions, and trusted contacts.

  • Cancer type if shared
  • Treatment context
  • Oncology team
  • Treatment center
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Preview of the YourEMR transplant and immunosuppression emergency information sheet.

Transplant / Immunosuppression Emergency Information Sheet

People who have had an organ transplant, people taking immunosuppressant medicines, family caregivers, travel companions, home health aides, transportation helpers, and trusted contacts who may need transplant-related information easy to find.

  • Transplant type
  • Transplant date if shared
  • Transplant center
  • Transplant team contact
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Preview of the YourEMR BiPAP and CPAP emergency information sheet.

BiPAP / CPAP Emergency Information Sheet

People who use CPAP, BiPAP, bilevel PAP, APAP, masks, tubing, humidifiers, oxygen bleed-in equipment, backup batteries, or related sleep or breathing equipment, plus caregivers and trusted helpers.

  • PAP device type
  • Device name
  • Supplier/DME contact
  • Sleep specialist
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Preview of the YourEMR ostomy emergency information sheet.

Ostomy Emergency Information Sheet

People with a colostomy, ileostomy, urostomy, temporary ostomy, permanent ostomy, or pouching system, plus family caregivers, school caregivers, respite caregivers, home health aides, travel companions, and trusted helpers.

  • Ostomy type
  • Pouching system context
  • Supply/vendor contact
  • Ostomy nurse contact
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Preview of the YourEMR vision, hearing, and communication emergency information sheet.

Vision / Hearing / Communication Emergency Information Sheet

People with vision loss, low vision, hearing loss, hearing aids, cochlear implants, speech differences, AAC tools, language needs, communication supports, or sensory needs, plus family caregivers and trusted helpers.

  • Vision notes
  • Hearing notes
  • Communication preferences
  • Primary language
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Preview of the YourEMR home health handoff emergency information sheet.

Home Health Handoff Emergency Information Sheet

People receiving home health services, family caregivers, adult children, respite caregivers, home health aides, visiting nurses, therapy teams, transportation helpers, and trusted family contacts.

  • Home health agency
  • Agency phone
  • Nurse contact
  • Therapy contacts
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Preview of the YourEMR caregiver emergency binder face sheet.

Caregiver Emergency Binder Face Sheet

Family caregivers, adult children, spouses, care partners, shared-care households, home health helpers, respite helpers, and trusted family members who want essential emergency information easy to find.

  • Person's name
  • Date of birth
  • Emergency contacts
  • Primary caregiver
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Preview of the YourEMR long-distance caregiver emergency information sheet.

Long-Distance Caregiver Emergency Information Sheet

Adult children, siblings, spouses, family caregivers, long-distance care partners, out-of-town helpers, and trusted contacts who coordinate support from another home, city, or state.

  • Person's name
  • Residence/address
  • Local emergency contacts
  • Primary local helper
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Preview of the YourEMR respite caregiver handoff sheet.

Respite Caregiver Handoff Sheet

Family caregivers arranging respite care, substitute caregivers, adult children, spouses, respite helpers, home care aides, school or day program helpers, and trusted family contacts.

  • Person's name
  • Primary caregiver
  • Backup contacts
  • Emergency contacts
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Preview of the YourEMR babysitter emergency information sheet.

Babysitter Emergency Information Sheet

Parents, guardians, babysitters, grandparents, relatives, nannies, respite helpers, co-parents, and trusted adults who care for a child outside the parent's immediate supervision.

  • Child name
  • Date of birth
  • Home address
  • Parent/guardian contacts
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Preview of the YourEMR co-parent emergency information sheet.

Co-Parent Emergency Information Sheet

Co-parents, guardians, separated households, shared-care families, grandparents, stepparents, babysitters, school or daycare contacts, and trusted adults who need current child emergency information organized without conflict-oriented language.

  • Child name
  • Date of birth
  • Parent/guardian contacts
  • Backup contacts
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Preview of the YourEMR emergency binder checklist printable.

Emergency Binder Checklist

Family caregivers, older adults, people living alone, parents, long-distance caregivers, care partners, and families who want a practical checklist for keeping emergency information easy to find.

  • Emergency contacts
  • Primary caregiver
  • Backup caregiver
  • Doctors/specialists
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Preview of the YourEMR medication list printable.

Medication List Printable

Adults, caregivers, older adults, parents, people with multiple prescriptions, long-distance caregivers, and families who want a readable medication list to keep with emergency information.

  • Person's name
  • Date of birth
  • Medication name
  • Dose as written
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Preview of the YourEMR allergy list printable.

Allergy List Printable

Adults, parents, caregivers, school or daycare handoff helpers, older adults, people with severe allergies, and families who want allergy information easy to find with emergency records.

  • Person's name
  • Date of birth
  • Allergen
  • Reaction context
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Preview of the YourEMR doctor contact list printable.

Doctor Contact List

Adults, caregivers, older adults, parents, long-distance caregivers, people with multiple providers, and families who want care team contacts in one readable place.

  • Person's name
  • Primary doctor
  • Specialists
  • Pharmacy
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Preview of the YourEMR medical go-bag checklist printable.

Medical Go-Bag Checklist

Caregivers, older adults, parents, people with medical equipment or supplies, long-distance caregivers, and families preparing a practical emergency information packet or go-bag.

  • Emergency information copy
  • Medication list
  • Allergy list
  • Doctor/contact list
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Preview of the YourEMR ER visit checklist printable.

ER Visit Checklist

Adults, caregivers, older adults, parents, people with complex care needs, and families who want emergency information organized before a stressful hospital visit.

  • Person's name
  • Date of birth
  • Emergency contacts
  • Caregiver contact
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Preview of the YourEMR ambulance and EMS information sheet printable.

Ambulance / EMS Information Sheet

People living alone, older adults, caregivers, parents, people with communication or mobility needs, people using home medical equipment, and families who want key information ready in a readable format.

  • Full name
  • Date of birth
  • Home address
  • Emergency contacts
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Preview of the YourEMR urgent care information sheet printable.

Urgent Care Information Sheet

Adults, parents, caregivers, older adults, travelers, long-distance caregivers, and families who want key medical information organized for an urgent care or walk-in clinic visit.

  • Person's name
  • Date of birth
  • Emergency contacts
  • Current medications
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Preview of the YourEMR travel emergency medical information sheet printable.

Travel Emergency Medical Information

Travelers, family caregivers, parents, older adults, people with medications or supplies, long-distance caregivers, and families who want emergency information available away from home.

  • Traveler name
  • Date of birth
  • Emergency contacts
  • Travel companion
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Preview of the YourEMR power outage medical equipment checklist printable.

Power Outage / Medical Equipment Checklist

Caregivers, families, older adults, parents, people using home medical equipment, and households that want supplier and equipment information organized before an outage or emergency.

  • Equipment list
  • DME/supplier contacts
  • Doctor/specialist contacts
  • Backup contacts
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Preview of the YourEMR cardiology patient emergency information sheet printable.

Cardiology Patient Emergency Information

Heart patients, caregivers, older adults, cardiology patients with multiple clinicians, people with pacemakers or ICDs, people taking blood thinners, and families who want cardiology-related information easier to find.

  • Patient name
  • Date of birth
  • Cardiac diagnoses
  • Cardiologist
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Preview of the YourEMR pulmonology patient emergency information sheet printable.

Pulmonology Patient Emergency Information

Pulmonology patients, caregivers, older adults, people using oxygen or PAP equipment, people with DME suppliers, and families who want respiratory-related emergency information easier to find.

  • Patient name
  • Date of birth
  • Pulmonary diagnosis
  • Pulmonologist
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Preview of the YourEMR primary care emergency information sheet printable.

Primary Care Emergency Information

Adults, caregivers, older adults, parents, patients with multiple specialists, and families who want one practical emergency information sheet that starts with primary care details.

  • Patient name
  • Date of birth
  • Primary care clinician
  • Specialists
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Preview of the YourEMR hospital discharge emergency information sheet printable.

Hospital Discharge Emergency Information

Patients leaving the hospital, caregivers, older adults, family helpers, home health handoffs, and anyone who wants discharge-related contacts and paperwork locations easier to find.

  • Patient name
  • Date of birth
  • Discharge date
  • Hospital
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Preview of the YourEMR medication review emergency sheet printable.

Medication Review Emergency Sheet

Adults, caregivers, older adults, patients with multiple prescriptions, people seeing several clinicians, and families who want a medication list ready for clinician or pharmacist review.

  • Patient name
  • Date of birth
  • Medication name
  • Dose as written
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Preview of the YourEMR aging parent emergency information sheet printable.

Aging Parent Emergency Information Sheet

Adult children, spouses, family caregivers, long-distance caregivers, trusted neighbors, and older adults who want practical emergency information easier to find before a stressful moment.

  • Parent name
  • Date of birth
  • Emergency contacts
  • Adult child contacts
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Preview of the YourEMR spouse caregiver emergency information sheet printable.

Spouse Caregiver Emergency Information Sheet

Spouses, partners, backup caregivers, adult children, close family, respite helpers, and trusted contacts who may need household emergency information quickly.

  • Person name
  • Date of birth
  • Spouse/partner caregiver
  • Backup caregivers
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Preview of the YourEMR grandparent caregiver emergency information sheet printable.

Grandparent Caregiver Emergency Information Sheet

Grandparents, kinship caregivers, parents, guardians, backup caregivers, school or daycare contacts, and trusted adults who need child emergency information organized without custody or school-policy claims.

  • Child name
  • Date of birth
  • Parent/guardian contacts
  • Grandparent caregiver
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Preview of the YourEMR assisted living emergency information sheet printable.

Assisted Living Emergency Information Sheet

Assisted living residents, family members, adult children, caregivers, facility contacts, respite helpers, and trusted contacts who want resident emergency information easier to find.

  • Resident name
  • Date of birth
  • Facility contact
  • Family contacts
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Preview of the YourEMR adult disability emergency information sheet printable.

Adult Disability Emergency Information Sheet

Adults with disabilities, family members, support people, caregivers, roommates, trusted contacts, and teams who want person-provided emergency information easier to find.

  • Person name
  • Date of birth
  • Emergency contacts
  • Preferred support person
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Preview of the YourEMR oxygen go-bag checklist printable.

Oxygen Go-Bag Checklist

People who use home oxygen or portable oxygen, family caregivers, travel companions, home health aides, and trusted contacts who want oxygen-related information easier to find before an emergency or trip.

  • Person name
  • Date of birth
  • Emergency contacts
  • Caregiver contacts
View & Download
Preview of the YourEMR suction machine checklist printable.

Suction Machine Checklist

Family caregivers, home health aides, respite caregivers, school or day program teams, and trusted contacts who help keep suction-related equipment and supplier information organized.

  • Person name
  • Date of birth
  • Emergency contacts
  • Caregiver/home health
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Preview of the YourEMR ventilator backup information sheet printable.

Ventilator Backup Information Sheet

Caregivers, family members, home health aides, respite helpers, school or day program teams, travel companions, and trusted contacts who need ventilator-related contacts and document locations easy to find.

  • Person name
  • Date of birth
  • Emergency contacts
  • Caregiver contacts
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Preview of the YourEMR insulin and CGM travel supplies checklist printable.

Insulin / CGM Travel Supplies Checklist

People who use insulin, CGM supplies, diabetes devices, or diabetes medications, plus caregivers, parents, travel companions, school teams, and trusted contacts who want supply information easier to find.

  • Person name
  • Date of birth
  • Emergency contacts
  • Travel companion
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Preview of the YourEMR seizure rescue medication handoff sheet printable.

Seizure Rescue Medication Handoff Sheet

People with a seizure history, caregivers, parents, school teams, respite caregivers, camp or program contacts, travel companions, and trusted helpers who need seizure-plan and rescue-medication information easier to locate.

  • Person name
  • Date of birth
  • Emergency contacts
  • Caregiver contacts
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Preview of the YourEMR school nurse emergency information sheet printable.

School Nurse Emergency Information Sheet

Parents, guardians, students, school nurses, school offices, and trusted caregivers who want school-day emergency information easier to organize before it is needed.

  • Student name
  • Date of birth
  • Parent/guardian contacts
  • Backup contacts
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Preview of the YourEMR daycare emergency information sheet printable.

Daycare Emergency Information Sheet

Parents, guardians, daycare providers, child care centers, family child care homes, backup caregivers, and trusted pickup contacts who want key information easier to find.

  • Child name
  • Date of birth
  • Parent/guardian contacts
  • Backup pickup contacts
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Preview of the YourEMR summer camp emergency information sheet printable.

Summer Camp Emergency Information Sheet

Parents, guardians, campers, camp nurses, counselors, trip leaders, and family caregivers who want camper information easier to find before camp, travel, or overnight activities.

  • Camper name
  • Date of birth
  • Parent/guardian contacts
  • Backup contacts
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Preview of the YourEMR college student emergency information sheet printable.

College Student Emergency Information Sheet

College students, young adults, families, roommates, residence life contacts, trusted friends, and caregivers who want emergency information easier to find while respecting the student's privacy choices.

  • Student name
  • Emergency contacts
  • Trusted support contact
  • Campus/residence contact
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Preview of the YourEMR workplace emergency information sheet printable.

Workplace Emergency Information Sheet

Adults who choose to keep concise emergency information at work, trusted coworkers, supervisors, family contacts, and support people who may need to locate emergency contacts or basic information quickly.

  • Person name
  • Emergency contacts
  • Preferred support person
  • Optional medications
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Preview of the YourEMR refrigerator emergency information sheet printable.

Refrigerator Emergency Information Sheet

Older adults, people living alone, families, caregivers, home health aides, and trusted helpers who want a household copy of important emergency information in a known place.

  • Person name
  • Emergency contacts
  • Caregiver contacts
  • Medications
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Preview of the YourEMR wallet emergency medical card printable.

Wallet Emergency Medical Card

People who want a small personal emergency information backup in a wallet, purse, phone case, travel pouch, school bag, work bag, or caregiver packet.

  • Name
  • Emergency contacts
  • Allergies
  • Medications
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Preview of the YourEMR glove box emergency information sheet printable.

Glove Box Emergency Information Sheet

Drivers, passengers, caregivers, older adults, families, and travel companions who want a car-based backup for key emergency contacts and document locations.

  • Person name
  • Emergency contacts
  • Travel companion
  • Caregiver contacts
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Preview of the YourEMR home emergency information folder printable.

Home Emergency Information Folder

Families, caregivers, older adults, people with medical equipment, and households that want one place to track where important emergency information and documents are kept.

  • Emergency contacts
  • Caregiver contacts
  • Doctors/specialists
  • Pharmacy
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Preview of the YourEMR family emergency contact list printable.

Family Emergency Contact List

Families, caregivers, older adults, co-parents, college students, school families, workplace contacts, and households that want emergency contacts organized before they are needed.

  • Primary contacts
  • Backup contacts
  • Caregiver contacts
  • School contacts
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Preview of the YourEMR trach and airway emergency information sheet.

Trach / Airway Emergency Information Sheet

Patients, parents, and caregivers organizing information for someone with a tracheostomy, airway equipment, oxygen, suction, a ventilator, or related respiratory equipment without turning the page into airway-care instructions.

  • Trach type
  • Trach size
  • Backup trach size
  • Cuff status
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Preview of the YourEMR laryngectomy and neck breather emergency information sheet.

Laryngectomy / Neck Breather Emergency Information Sheet

People living after total laryngectomy, people who identify as neck breathers, and families or caregivers who want stoma, airway, communication, supply, and emergency contact details clearly visible.

  • Neck breather status
  • Laryngectomy status
  • Stoma notes
  • Lary tube if used
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Preview of the YourEMR autism, nonspeaking, and sensory emergency information sheet.

Autism / Nonspeaking / Sensory Emergency Information Sheet

Autistic people, nonspeaking or minimally speaking people, people who use AAC, families, caregivers, and support teams who want communication, sensory, and medical basics written down before a stressful situation.

  • Preferred name
  • Communication style
  • AAC tools
  • Sensory needs
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Preview of the YourEMR seizure and epilepsy emergency information sheet.

Seizure / Epilepsy Emergency Information Sheet

People with epilepsy, people with a history of seizures, parents, families, caregivers, school staff, daycare staff, coaches, babysitters, respite workers, and support teams who want seizure-related emergency information easy to find before it is needed.

  • Seizure type
  • Usual seizure pattern
  • Triggers
  • Seizure action plan
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Preview of the YourEMR diabetes, CGM, and insulin emergency information sheet.

Diabetes / CGM / Insulin Emergency Information Sheet

People with type 1 diabetes, type 2 diabetes, insulin-dependent diabetes, people who use a CGM, insulin pump, blood glucose meter, glucagon, or other diabetes supplies, parents, caregivers, school staff, babysitters, travel companions, coaches, and families who want diabetes-related emergency information easy to find before it is needed.

  • Diabetes type
  • Insulin use
  • CGM details
  • Pump details
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Preview of the YourEMR medically complex child emergency information sheet.

Medically Complex Child Emergency Information Sheet

Parents, guardians, family caregivers, home nurses, school nurses, respite caregivers, grandparents, and trusted helpers supporting a child with complex medical needs, devices, supplies, multiple specialists, or detailed baseline information.

  • Diagnoses
  • Baseline status
  • Devices
  • Feeding needs
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Preview of the YourEMR older adult living alone emergency information sheet.

Older Adult Living Alone Emergency Information Sheet

Older adults who live alone, adult children, caregivers, neighbors, care partners, home health aides, and POA contacts who want emergency information easy to find before it is needed.

  • Emergency contacts
  • Adult children
  • POA contacts
  • Doctors
View & Download

Simple now, digital when ready

Print one today. Keep YourEMR ready for information that changes.

These free sheets are useful for:

  • Household folders and refrigerator copies
  • Caregiver binders and school or travel packets
  • Emergency kits and care handoffs
  • Planning a digital QR-ready YourEMR profile later

Emergency disclaimer

These free sheets are informational tools only. They are not medical records, diagnosis tools, treatment plans, or substitutes for professional medical care. In an emergency, call 911 or your local emergency number.