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.
Free printable emergency information sheet
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
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 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.
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.
Handoff notes can point to contacts, locations, and records. Avoid flow-rate advice, oxygen adjustment instructions, clinical instructions, generator instructions, or equipment troubleshooting.
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.
Review the checklist when supplier contacts, doctors, pharmacy, medications, allergies, equipment, supply locations, travel plans, caregiver contacts, power notes, or document locations change.
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.
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 details may come from current labels, supplier paperwork, clinician paperwork, caregiver notes, and contact lists. Keep the printable focused on locating information.
Use these related YourEMR pages when they fit the person's situation.
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.
NIH MedlinePlus information about home oxygen equipment types, backup tanks for power outages, family notification, and provider guidance.
General oxygen therapy education from the American Lung Association for patient and caregiver context.
Preparedness guidance for organizing prescriptions, medical supply needs, allergy information, and related emergency details.
Guidance for collecting and protecting insurance cards, care plans, identification, and emergency action plans.
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.