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Emergency Medical Information Form

Our goal is to help you to create a safe environment at home. Use this handy form to list your medical conditions, medication list, contact names and more. Emergency Responders will use this information if they need to take you to the hospital, helping to get you the right treatment fast.
Download Free EMS Emergency Medical Information Vial Of Life Form

Please print our free EMS Emergency Medical Information Form, and feel free to share it with your friends and family.


About This Free EMS Emergency Medical Information Form

Medical Care Alert offers this free EMS Emergency Medical Information Form to help keep your medical information organized and handy in the event of an actual emergency. We want you to share this form to your heart’s content. Please link or direct people to https://www.medicalcarealert.com/EMS.

How can we prepare for an emergency?

Our EMS Emergency Medical Information Form has been reviewed by actual first responders who agree this is the right information to have on hand in an actual emergency. Complete the form, and tape it to your referigerator where it can be easily seen by EMS responders. Similar to a Vial Of Life form, our Emergency Medical Information Form has been reviewed and approved by emergency dispatchers. According to one Fire Department Chief who reviewed it "Your form captures more than we need for a “typical” case – but everything you ask for could be of importance in some situations." Download your EMS Emergency Medical Alert form now and place it prominently on your referigerator where it can be easily seen.