Free printable emergency information sheet
A free printable emergency information sheet for organizing feeding tube type, nutrition or formula name, supply contacts, clinician contacts, allergies, medications, baseline needs, and caregiver contacts.
This may be called a feeding tube face sheet, G-tube emergency information sheet, tube feeding handoff sheet, enteral nutrition summary, or caregiver emergency notes page.
No signup is required to download the printable PDF.
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.
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.
A family member, school caregiver, respite helper, home health aide, urgent care team, ER team, or travel companion may need to find supply contacts, clinician contacts, allergy information, medication details, and baseline notes quickly.
A concise written sheet may help someone find the right contact and the right source document without relying only on memory during a stressful handoff.
These notes can point helpers toward the current plan and contacts. Avoid directions about tube placement, troubleshooting, clogs, dislodgement, aspiration, replacement, feeding schedule changes, or complications.
Keep copies where trusted helpers are likely to find them: in a caregiver binder, school packet, go-bag, travel bag, home health folder, near the supply area, or with a trusted family member.
Do not assume every helper will check the same place. Tell trusted caregivers and family where the current sheet and full feeding plan are kept.
Review the sheet when tube type, formula or nutrition name, supply vendor, clinician contacts, feeding plan location, medications, allergies, diagnoses, caregiver contacts, emergency contacts, communication needs, or mobility needs change.
It may also be worth reviewing after a hospital discharge, after a clinic visit, before travel, before a school year or respite stay, or when a new caregiver starts.
Share only what is useful for emergency information organization. Avoid adding unnecessary sensitive details to a copy that may be visible at home, school, or during travel.
This page is for organization and emergency preparedness only. It is not medical advice and does not replace 911, EMS, clinicians, feeding plans, tube-care instructions, nutrition orders, supply instructions, medical records, medication labels, care plans, discharge instructions, or patient portals. Do not use it for tube troubleshooting, replacement, feeding schedule changes, or treatment decisions.
A digital YourEMR profile may help when formula names, supply contacts, caregiver contacts, medication lists, allergies, or clinician contacts change. The profile can be updated, printed again, or shared through an emergency QR link.
Helpful details may come from the person's care plan, supply paperwork, nutrition label, medication list, or caregiver records.
Use these related YourEMR pages when they fit the person's situation.
These outside resources are for general education only. Always follow the person's clinicians, feeding plan, tube-care instructions, supply instructions, medication labels, and care plan.
NIH/NLM patient education about gastrostomy feeding tubes, clinician-provided plans, supplies, and why professional guidance matters.
Preparedness guidance for organizing prescriptions, dosage, medical supplies, allergy information, and pharmacy contacts before an emergency.
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.