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Free printable emergency information sheet

Free Printable Oxygen Go-Bag Checklist

A free printable oxygen go-bag checklist for organizing oxygen supplier contacts, equipment notes, doctor contacts, medication and allergy basics, emergency contacts, and travel or power planning notes.

This may be called an oxygen travel checklist, home oxygen go-bag sheet, oxygen supplier contact sheet, or respiratory preparedness printable.

No signup is required to download the printable PDF.

Optional add-on

Need extra medication space?

Add a separate medication list sheet if the main emergency information sheet does not have enough room.

Preview of the YourEMR extra medication list sheet printable.
Extra medication list sheet preview
Download Extra Medication Sheet

The main emergency information sheet download stays separate.

Preview of the YourEMR oxygen go-bag checklist printable.
Oxygen Go-Bag Checklist preview

Who this sheet helps

This checklist may help people who use home oxygen, portable oxygen, concentrators, tanks, or related respiratory supplies, plus caregivers who help keep supplier information, doctor contacts, and travel notes in one place.

Why this may matter in an emergency

Oxygen-related information may be split between equipment labels, supplier papers, clinician records, bags, chargers, and family memory.

A concise sheet can help someone call the right supplier or caregiver faster, but it does not replace 911, EMS, clinicians, oxygen prescriptions, device manuals, supplier guidance, or the person's care plan.

Oxygen go-bag handoff notes

Handoff notes can point to contacts, locations, and records. Avoid flow-rate advice, oxygen adjustment instructions, clinical instructions, generator instructions, or equipment troubleshooting.

  • Where the current oxygen prescription, supplier paperwork, travel forms, or clinician notes are kept
  • Who can confirm the person's current oxygen plan and equipment list
  • Where portable equipment, backup supplies, chargers, and go-bag copies are kept
  • Which caregiver or family member can answer supplier or travel questions

Where to keep it

Keep copies where trusted helpers know to look: go-bag, refrigerator folder, caregiver binder, travel folder, bedside folder, appointment folder, or with a trusted family member.

Avoid putting unnecessary sensitive details, passwords, financial information, or direct home access codes on a visible copy.

When to update it

Review the checklist when supplier contacts, doctors, pharmacy, medications, allergies, equipment, supply locations, travel plans, caregiver contacts, power notes, or document locations change.

Privacy and safety notes

Share only what is useful for emergency organization and caregiver handoff. Keep fuller records in a safer place when a visible copy would reveal too much.

This page is for organization and emergency preparedness only. It is not medical advice or legal advice and does not replace 911, EMS, clinicians, oxygen prescriptions, medical records, medication labels, device manuals, DME instructions, care plans, patient portals, or professional guidance.

Printable sheet versus digital YourEMR profile

A digital YourEMR profile may help when contacts, medications, allergies, supplier information, equipment notes, travel notes, and caregiver roles change. The profile can be updated and reprinted.

Helpful terms families may hear

  • DME: Durable medical equipment, often used to describe supplier-provided home medical equipment.
  • Oxygen supplier: The company or contact that provides oxygen equipment or supplies according to the person's records.
  • Go-bag: A portable bag or folder with copies, contacts, and supplies the person or caregiver wants ready.
  • Equipment list: A patient or caregiver-provided list of equipment names, models, supplies, and locations.
  • Paperwork location: Where official records, prescriptions, supplier forms, or travel documents can be found.

Oxygen Go-Bag details to record

Helpful details may come from current labels, supplier paperwork, clinician paperwork, caregiver notes, and contact lists. Keep the printable focused on locating information.

  • Oxygen supplier or DME company name, phone number, account or reference number if safe to include, and after-hours contact if provided
  • Doctor, pulmonologist, pharmacy, current medication list location, allergy basics, and emergency contacts
  • Patient or caregiver-provided equipment list, backup item locations, charger or battery locations, and where current oxygen paperwork is kept
  • Travel, power, and contact notes as preparedness context, such as who knows the current plan and where fuller documentation lives

Related YourEMR resources

Use these related YourEMR pages when they fit the person's situation.

Helpful oxygen and emergency preparedness resources

These outside resources are for general education and preparedness only. Always follow 911, EMS, clinicians, oxygen prescriptions, device manuals, supplier guidance, medication labels, care plans, and professional guidance.

MedlinePlus: Using oxygen at home

NIH MedlinePlus information about home oxygen equipment types, backup tanks for power outages, family notification, and provider guidance.

Ready for an updateable profile?

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YourEMR helps keep emergency information organized and ready when it matters.

Emergency disclaimer

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.