Who it helps
Family caregivers arranging respite care, substitute caregivers, adult children, spouses, respite helpers, home care aides, school or day program helpers, and trusted family contacts.
Free printable emergency information sheet
A free printable respite caregiver handoff sheet for organizing primary caregiver contacts, backup contacts, medications, allergies, routine support notes, communication needs, mobility notes, supplies, and document locations.
This may be called a respite handoff sheet, substitute caregiver notes page, temporary caregiver information sheet, or caregiver coverage summary.
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.

Family caregivers arranging respite care, substitute caregivers, adult children, spouses, respite helpers, home care aides, school or day program helpers, and trusted family contacts.
A temporary caregiver may need to find the primary caregiver, backup contact, medication list, allergy list, care plan, equipment notes, or emergency contacts quickly.
A short handoff sheet may help explain what is typical for the person and where official information is kept without asking the substitute caregiver to rely only on memory.
These notes can point the respite caregiver toward current information. Avoid instructions about giving medicines, changing care routines, transfers, feeding, wound care, oxygen, devices, or clinical decisions.
Keep copies in the caregiver binder, respite folder, bedside folder, medication area, supply area, home health folder, travel bag, or with the respite caregiver.
Tell the respite caregiver where the current sheet and official care documents are kept. Avoid leaving sensitive home access details visible.
Review the sheet before each respite handoff and whenever contacts, medications, allergies, routines, supplies, equipment, communication needs, mobility needs, or document locations change.
It may also be worth reviewing after a hospital discharge, new caregiver, new agency, new school or day program arrangement, or care-plan change.
Respite notes may include sensitive household, health, and routine information. Share only what the respite caregiver needs for organization and handoff.
This page is for organization and emergency preparedness only. It is not medical advice or legal advice and does not replace 911, EMS, clinicians, medical records, medication labels, care plans, agency documentation, child-care policies, school documentation, discharge instructions, patient portals, or professional guidance.
A digital YourEMR profile may help when contacts, medications, allergies, routines, supplies, or caregiver notes change often. It can be updated, printed again, or shared through an emergency QR link.
Helpful details may come from current caregiver records, care plans, medication labels, agency paperwork, and family notes.
Use these related YourEMR pages when they fit the person's situation.
These outside resources are for general education only. Always follow clinicians, current care plans, agency documentation, medication labels, child-care policies, and professional guidance.
CDC guidance on care plans that organize care needs, health conditions, medicines, provider contacts, and emergency contacts.
National Institute on Aging worksheets for coordinating caregiving tasks, medication lists, and important documents.
Preparedness guidance about discussing emergency plans, identifying responsibilities, and practicing 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.