3. REFRIGERATOR RECORD - Emergency in the home
By keeping your medical information, emergency contact information and a current list of your medications in an obvious place, you greatly improve your chances during an emergency. Your list can be posted on the refrigerator, in your kitchen. Leave instructions for family members so they can assist if they are available.
Put medical information in an envelope labeled *MEDICAL INFORMATION*. Secure the envelope to your refrigerator door. You may want to include a picture of yourself. Be sure to keep it at eye level so that it is easily visible to First Responders. Remember to print legibly and update the information as it changes.
- Complete the form and place 2-copies in an envelope labeled *MEDICAL INFORMATION*. Secure the envelope to your refrigerator door. You may want to include a picture of yourself.
- Be sure to keep it at eye level so that it is easily visible to First Responders.
- Label one of the copies for the First Responders to take- this will be useful in transport and at the hospital.
- A fillable PDF is provided below for you to complete and print the information.