When you advocate for a someone in their health care process - whether in an emergency or a routine doctor’s appointment - it’s important to give accurate medical information to health care providers.
You should also post up to date information where emergency medical personnel can find it - on the refrigerator and in the wallet. Give the emergency advocate -- and their backup -- access to a copy.
Your list should include:
- Medical history
- Medication list
- Blood type
- Organ donor preferences
- Doctors and pharmacists
- Emergency contacts
- Agents under health care power of attorney
- Advance medical directives
- Do Not Resuscitate (DNR) and POST (Physician's Order for Scope of Treatment) forms in Virginia - if they have been created
- HIPAA releases
- Insurance information
Many hospitals now provide electronic health records. However, these records usually do not include records from other hospitals or health care providers, and may not include over-the-counter drugs or supplements your loved one may be taking. Therefore it is best to keep an updated list that includes complete information.
You can download an Emergency Medical Information template for the free at the link below. The link includes pdf format which can be printed and filled out, and a Google Document format which can be filled electronically.
If you have a Google Account (free of charge) or want to set one up, you can fill in the Google Sheets forms below and print them out. If you don’t want a Google Account you can print the pdf version of these forms and fill them out with a pencil.
Be sure to keep your forms up to date!
Emergency Medical Information Forms
Medical Information Forms - Google Sheet
- See attached files below.
How Care is There Geriatric Care Management Can Help
Are you a long distance caregiver, do you travel, or are you busy managing your own life, family, and career? At Care is There Geriatric Care Management, we fill the gaps by being on-site with your loved one.
To learn about how we can help your loved one be prepared for a medical emergency, see our article: “Help Your Loved One Prepare for a Medical Emergency”
For more information about how we can help you and your loved one read more about our services or contact Care is There Geriatric Care Management for a free consultation at 800.434.1633 or Info@CareisThere.com
- HIPAA: Giving Your Advocate Access to Health Care Information
- Help Your Aging Parents Prepare for a Medical Emergency
- How to Be an Effective Advocate for Your Elderly Loved One
- How to Advocate at Medical Appointments for Your Elderly Loved One
- How to Manage Your Loved One’s Hospital Admission