A free printable emergency information sheet for organizing ostomy type, supply contacts, pouching system context, clinician contacts, allergies, medications, caregiver contacts, and emergency contacts.
This may be called an ostomy face sheet, colostomy emergency information sheet, ileostomy handoff sheet, urostomy supply summary, or caregiver emergency notes page.
No signup is required to download the printable PDF.
The main emergency information sheet download stays separate.
Ostomy emergency information sheet preview
Who it helps
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.
Why this can matter in an emergency
A caregiver, family member, school caregiver, home health aide, urgent care team, ER team, or travel companion may need to find ostomy supply contacts and clinician contacts quickly.
A concise sheet may help someone locate supplies, vendor information, ostomy nurse contacts, medication lists, allergy lists, and fuller care-plan documents.
Ostomy handoff notes
These notes can point helpers toward contacts, supplies, and current documents. Avoid directions about changing supplies, troubleshooting leaks, skin care, diet changes, output changes, or complications.
Who knows the current ostomy routine and where the written plan is kept
Which supplier, DME company, pharmacy, or ostomy nurse can confirm supply details
Where extra pouches, wafers, barriers, disposal bags, clothing notes, or travel supplies are kept if the person chooses to share that location
Whether the person has communication, sensory, mobility, age-related, or caregiver support needs
Which caregiver, home health contact, or clinician can confirm current information
Where to keep it
Keep copies near the supply area, in a caregiver binder, in a travel bag, in a go-bag, with school or respite notes, with home health notes, or with a trusted family member.
Tell trusted caregivers and family where the current sheet, extra supplies, supply paperwork, and official care plan are kept.
When to update it
Review the sheet when ostomy type, pouching system, supply vendor, clinician contacts, supply location, medications, allergies, diagnoses, caregiver contacts, or emergency contacts change.
It may also be worth reviewing after a hospital discharge, supply change, clinic visit, travel plan, school or respite change, or new caregiver handoff.
Privacy and safety notes
Ostomy details can be personal. Share only what is useful for emergency organization and caregiver handoff.
This page is for organization and emergency preparedness only. It is not medical advice and does not replace 911, EMS, clinicians, ostomy nurse instructions, supply instructions, medication labels, medical records, discharge instructions, care plans, patient portals, or clinical triage guidance. Do not use it for stoma care, pouch changes, diet decisions, skin care, output management, or treatment decisions.
Printable sheet versus digital emergency profile
A digital YourEMR profile may help when supply names, vendor contacts, clinician contacts, medication lists, allergies, or caregiver contacts change. It can be updated, printed again, or shared through an emergency QR link.
Helpful terms families may hear
Stoma: An opening created surgically; the sheet can note ostomy context from the person's records.
Colostomy: An ostomy involving the colon, documented only as factual context.
Ileostomy: An ostomy involving the ileum, documented only as factual context.
Pouching system: The pouch, wafer, barrier, or related supply context the person chooses to list.
Ostomy nurse: A clinician contact who may help with ostomy education and supplies.
Caregiver handoff: Short notes that help another trusted person find supplies, contacts, and current documents.
Ostomy details to record
Helpful details may come from the person's care plan, supply packaging, vendor paperwork, clinic paperwork, medication list, or caregiver records.
Ostomy type if known, such as colostomy, ileostomy, urostomy, temporary ostomy, permanent ostomy, or other wording from the care plan
Pouching system or supply names as caregiver-provided context, supply vendor, pharmacy, DME company, and backup supply location if the person chooses to include it
Ostomy nurse, surgeon, GI specialist, primary doctor, home health contact, and caregiver contacts
Medications, allergies, diagnoses, baseline communication needs, mobility notes, and emergency contacts
Where ostomy care instructions, supply paperwork, travel notes, discharge instructions, and care-plan documents are kept
Related YourEMR resources
Use these related YourEMR pages when they fit the person's situation.
cancer and chemo sheet - Use when oncology context or device notes also need to be organized.
Helpful ostomy and preparedness resources
These outside resources are for general education only. Always follow the person's clinicians, ostomy nurse, supply instructions, medication labels, and care plan.
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.
