Free printable emergency information sheet
A free printable suction machine checklist for organizing equipment name or model, supplier contacts, caregiver contacts, doctor or specialist contacts, backup supply notes, emergency contacts, and handoff information.
This may be called a suction machine supply checklist, airway equipment contact sheet, DME handoff sheet, or caregiver equipment checklist.
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 families, home health aides, respite caregivers, school teams, day program contacts, travel companions, and trusted helpers who need to locate supplier contacts, backup supply notes, and care plan locations.
Suction-related information can be split between bags, labels, supply drawers, home health notes, supplier paperwork, and family memory.
A concise sheet can help a caregiver or responder find contacts and documents faster, but it does not replace clinical instructions, emergency services, device manuals, or the person's care plan.
Handoff notes can point to equipment, supplies, contacts, and official instructions. Do not write steps for suctioning, airway care, troubleshooting, or emergency response.
Keep copies near the equipment, in the caregiver binder, in the supply bag, with home health notes, in a school or respite packet, or with trusted family members.
Avoid putting unnecessary sensitive details, passwords, financial information, or direct home access codes on a visible copy.
Review the checklist when equipment, supplier contacts, supply locations, caregiver contacts, home health contacts, doctor contacts, care plan location, manual location, medication list, or allergy list changes.
Share only what is useful for emergency organization and caregiver handoff. Keep fuller records and detailed care instructions 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, device manuals, DME instructions, airway plans, care plans, home health instructions, patient portals, or professional guidance.
A digital YourEMR profile may help when supplier contacts, equipment notes, supply locations, caregiver roles, and document locations change. The profile can be updated and reprinted.
Use factual details from equipment labels, supplier paperwork, care team documents, caregiver notes, and current contact lists. Keep it short enough to scan.
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, device manuals, DME instructions, home health guidance, care plans, and professional guidance.
Guidance for collecting and protecting insurance cards, emergency action plans, care plans, and other important documents.
Preparedness guidance for organizing medicines, allergies, medical supply needs, and related information before an emergency.
Emergency kit guidance that includes medications, medical items, medication lists, pertinent medical information, and family contact information.
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.