Free printable emergency information sheet
Use this seizure rescue medication sheet to record where prescribed rescue medication information is kept, the medication label location, neurologist or prescribing clinician contact, seizure action plan location, emergency contacts, and school or caregiver handoff contacts.
This may be called a seizure rescue medication contact sheet, seizure plan handoff, epilepsy caregiver handoff sheet, or school and respite seizure information printable.
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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 handoff sheet may help people with epilepsy or a seizure history, parents, family caregivers, school nurses, respite caregivers, camp or program contacts, travel companions, and trusted helpers locate the current seizure action plan and prescribed rescue medication information quickly.
Seizure-plan information may be split across medication labels, school forms, caregiver binders, pharmacy records, clinician portals, backpacks, and family memory.
A concise sheet can help a trusted helper find the official plan and right contacts faster, but it does not replace 911, emergency services, clinician guidance, medication labels, or a seizure action plan.
Handoff notes can point to official plans, labels, contacts, and medication locations. Avoid instructions on when or how to give rescue medication, seizure first aid steps, dosing, or emergency-response directions.
Keep copies with the medication folder, caregiver binder, school packet, backpack, camp or program packet, respite folder, travel folder, refrigerator folder, or trusted caregiver.
Avoid putting unnecessary sensitive details, passwords, financial information, or direct home access codes on a visible copy.
Review the sheet when rescue medication name or location, prescribing clinician, pharmacy, seizure action plan location, emergency contacts, caregiver contacts, school contacts, respite contacts, allergy information, or document locations change.
Share only what is useful for emergency organization and caregiver handoff. Keep fuller records and detailed plans 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, medical records, medication labels, seizure action plans, school plans, emergency action plans, patient portals, or professional guidance.
A digital YourEMR profile may help when medications, pharmacy contacts, clinicians, school contacts, caregiver contacts, allergies, and plan locations change. The profile can be updated and reprinted.
Use factual details from medication labels, the seizure action plan, pharmacy records, clinician records, school forms, and caregiver notes. Keep the printable focused on locating the official plan and the right contacts.
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, medication labels, seizure action plans, school plans, emergency action plans, care plans, and professional guidance.
Guidance and forms for creating, sharing, copying, and reviewing seizure action plans with a health care team.
General education about rescue medications and the importance of training from the prescribing health care team.
CDC overview of epilepsy and seizures for general education context.
Preparedness guidance for collecting and protecting care plans, emergency action plans, identification, and important documents.
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.