Complete one card for each household member
Print one copy per person. Keep it current, protect it as sensitive information, and place copies only where authorized people can reach them.
Identity
Full name, date of birth, preferred language, communication needs
Emergency contacts
Primary contact, backup contact, out-of-area contact
Medical conditions
Current diagnoses responders or clinicians need to know
Allergies and reactions
Medicine, food, latex, adhesive, and known reaction
Medicines
Name, dose, schedule, purpose, prescriber, pharmacy, last refill
Devices and supplies
Oxygen, mobility, hearing, vision, glucose, infusion, CPAP, batteries, chargers
Care team
Clinician, specialist, pharmacy, insurer, home health, equipment supplier
Critical instructions
Clinician-approved action plans and where original documents are stored
Protect medication continuity
- 01
Keep an up-to-date medication list including dose and purpose, and know how much is on hand.
- 02
Ask the clinician, pharmacist, and insurer about lawful early-refill options and emergency procedures before a forecast disruption.
- 03
Keep medicines in labeled original packaging and protect them from heat, cold, light, moisture, floodwater, children, and unauthorized access as directed.
- 04
For refrigerated or powered treatment, document the safe temperature or runtime, backup power method, monitoring tool, and relocation threshold from the manufacturer and care team.
- 05
After flood, fire, extreme temperature, or power loss, contact a pharmacist, clinician, or manufacturer before relying on a questionable medicine whenever possible.
Plan for the failure, not just the item
| Dependency | Primary plan | Backup question |
|---|---|---|
| Prescription access | Usual pharmacy and refill process | Which alternate location and records can be used during closure? |
| Refrigeration | Normal refrigerator within labeled range | How will temperature be monitored, powered, transported, and evaluated after an excursion? |
| Powered device | Utility power and normal charger | What approved battery, generator, vehicle, shelter, or relocation option works safely? |
| Digital records | Patient portal or phone list | Where is the current paper copy and who may access it? |
| Caregiver support | Normal caregiver schedule | Who is the trained backup and how will they enter, communicate, and obtain supplies? |
Medication preparedness references
Medical guidance and product instructions can change. Recheck the official source and follow emergency services, clinicians, and current labels.