Free printable emergency information sheet
Use this doctor and care-team contact list to keep primary care, specialists, pharmacy, home health, equipment suppliers, caregiver contacts, after-hours contact locations if available, portal locations, and record sources in one readable place.
This may be called a doctor contact list, provider contact sheet, care team contact list, medical contact list, or emergency provider directory.
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Optional add-on
Add a separate medication list sheet if the main emergency information sheet does not have enough room.
The main emergency information sheet download stays separate.
This printable is for people with multiple providers, caregivers who coordinate appointments, families helping from a distance, and households that want provider, pharmacy, agency, and supplier contacts in one emergency folder.
The right phone number may be on an appointment card, pharmacy label, portal message, DME invoice, home health folder, or a caregiver's phone. In a stressful moment, those details are easy to miss.
A contact list can help a caregiver, urgent care team, ER team, or family member identify who is connected to the person and where records or support information may live.
Handoff notes can explain where contacts came from and who updates them. After-hours details should point to the listed source only; avoid clinical triage advice, treatment decisions, procedure decisions, or claims that a contact sheet replaces the care team.
Keep copies with the emergency binder, appointment folder, refrigerator folder, bedside folder, caregiver packet, travel bag, or go-bag.
Review the list after a new provider, specialist, pharmacy, agency, supplier, phone number, portal, caregiver, discharge, move, or insurance change.
Avoid putting portal passwords, account numbers, or private access details on a visible copy.
This printable is for emergency information organization and preparedness only. It is not medical advice or legal advice and does not replace 911, EMS, clinicians, patient portals, medical records, care plans, medication labels, agency instructions, supplier instructions, or professional guidance.
A digital YourEMR profile may help when phone numbers, provider names, pharmacies, agencies, suppliers, and caregiver contacts change.
Helpful contact details may come from appointment paperwork, provider cards, patient portals, pharmacy labels, home health paperwork, DME paperwork, supplier records, or caregiver notes.
Use these related YourEMR pages when they fit the person's situation.
These outside resources are for general education only. Always follow clinicians, current care plans, patient portals, official records, and professional guidance.
CDC caregiving guidance that includes health care providers with contact information, medicines, insurance information, and emergency contacts.
NIH MedlinePlus overview of keeping personal health record details such as emergency contacts, medicines, allergies, chronic diseases, and health history.
CDC guidance on organizing medical records, insurance cards, personal identification, and care plans for emergencies.
Ready for an updateable profile?
YourEMR helps keep emergency information organized and ready when it matters.
These free sheets are informational organization tools only. They are not medical records, diagnosis tools, treatment plans, medical advice, or legal advice, and they do not replace 911, EMS, clinicians, medical records, medication labels, device manuals, care plans, patient portals, or professional guidance.