Be informed and keep current medical information up to date and readily available. Keeping a list in your purse or wallet and checking frequently, updating as necessary will help your health-care providers give you the best care possible. When in an emergent situation or sudden illness it is very important to have quick access to accurate information concerning your medical conditions, allergies and medication but it isn't always easy to remember. Keeping an updated list will help. Your doctors and nurses will love you for it!
Below is a template you can use to record your information and keep it close so you will have the answers you need when you need them!
NAME:
ADDRESS:
INSURANCE:
EMERGENCY CONTACT:
PHYSICIAN SPECIALTY/Office Number
example: PCP
|
Dr Jones (706) 695-8732
|
example: Cardiologist
|
Dr Evans (706) 845-9081
|
ALLERGIES REACTIONS
example: Peanuts
|
rash
|
example: Sulfa drugs
|
nausea
|
MEDICATIONS CURRENTLY TAKING
MEDICATION
NAME
|
DRUG ACTION
(WHY TAKING IT)
|
DOSE
|
FREQUENCY
|
ex:Lisinopril
|
blood pressure
|
10mg
|
Daily
|
MEDICAL CONDITIONS SURGERIES/PROCEDURES
