Free Printable Pacemaker and ICD Device Card Emergency Sheet
Use this pacemaker and ICD sheet to record device card location, device type or manufacturer if known, cardiologist or electrophysiologist contact, device clinic contact, medication-list location, caregiver handoff notes, and emergency contacts.
This may be called a pacemaker face sheet, ICD emergency sheet, cardiac device information sheet, or device-card backup.
No signup is required to download the printable PDF.
The main emergency information sheet download stays separate.
Pacemaker / ICD emergency information sheet preview
Who it helps
People with a pacemaker, implantable cardioverter-defibrillator (ICD), cardiac resynchronization device, or other implanted cardiac device, plus family caregivers, adult children, travel companions, and trusted helpers.
Why this can matter in an emergency
A caregiver, urgent care team, ER team, travel companion, or family member may need to know that an implanted cardiac device exists and who manages it.
A written sheet may help someone locate the device ID card and call the correct device clinic or cardiology contact without guessing.
Pacemaker and ICD handoff notes
These notes can show where device information lives and who should be contacted. Avoid troubleshooting or medical clearance instructions.
Where the device ID card is kept, such as wallet, purse, phone case, emergency folder, or caregiver binder
Which clinic monitors the device and the best phone number to call
Whether the person uses remote monitoring equipment and where that information is kept
What baseline symptoms, communication needs, or mobility needs are typical for the person
Where to keep it
Keep a copy near the device ID card, in a wallet or purse, in a caregiver binder, in a travel bag, with a trusted family member, or with other emergency information.
Do not assume the sheet replaces the official device card. Keep the official card available and note where it can be found.
When to update it
Review the sheet after a new device implant, generator change, lead change, clinic change, new device card, medication change, allergy change, new cardiology contact, hospital discharge, or new caregiver handoff.
Also review it before travel or before a planned procedure when the person wants device contact details easy to find.
Privacy and safety notes
Device and medication details are sensitive. Share only what is helpful and keep the official device card and fuller records in appropriate places.
This page is for organization and emergency preparedness only. It is not medical advice and does not replace 911, EMS, clinicians, device cards, device clinic records, medical records, medication labels, procedure clearance, care plans, or patient portals. Do not use it for device troubleshooting, shock-response instructions, MRI clearance, or procedure decisions.
Printable sheet versus digital emergency profile
A digital YourEMR profile may help when device clinic contacts, cardiology contacts, medication lists, allergies, or emergency contacts change. It can point to the current device card location while keeping a printable backup available.
Helpful terms families may hear
Pacemaker: An implanted device that helps manage heart rhythm according to a clinician's programming.
ICD: An implantable cardioverter-defibrillator, a device used for certain serious rhythm risks.
Device ID card: The official card listing device details and emergency contact information.
Electrophysiologist: A heart rhythm specialist who may manage the device.
Device clinic: The clinic or team that follows the implanted device.
Remote monitor: Equipment some people use to transmit device information to their clinic.
Pacemaker and ICD details to record
Copy device details from the device ID card, device clinic paperwork, or clinician-provided records when available. Keep the sheet focused on locating the card and the right care-team contacts.
Device type, such as pacemaker, ICD, cardiac resynchronization device, or another implanted cardiac device
Manufacturer, model, serial number, implant date, and device ID card location if known
Device clinic, cardiologist, electrophysiologist, primary doctor, pharmacy, and emergency contacts
Current medications, allergies, baseline symptoms, mobility, communication, and caregiver notes
Travel, procedure, or hospital preference notes that point to the appropriate clinician or device record
Related YourEMR resources
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 cardiologist, electrophysiologist, device clinic, device card, and care team instructions.
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.
