The first is a contact form for basic personal information and essential contacts to leave accessible in your home in case of emergency. The second is a companion health information form to list all the medicines, vitamins and supplements that you may take to keep with your emergency contact information. A third downloadable document provides references and tips to assist you in filling out these forms.
Experts on medical emergencies stress the importance of having this information handy. They advise having copies with you and posting the information on or near your refrigerator or at your bedside where first responders are authorized to look. It is important to keep this information up to date. Recent events also underscore the need to prepare for emergencies.
If you need hard copies or if you have any questions, please do not hesitate to email us at firstname.lastname@example.org or call (212) 842-8831 ext 32.
Click on the links below to download the forms. Tips to fill out these two forms are here.
Emergency Contact Form
Emergency Safety Review: A Tip Sheet of What to Have at Hand
Some of this information was prepared by our Neighbor-to-Neighbor Committee and some was presented at our April 30, 2009, panel “Emergency Safety Review."