In Case of Emergency (Key Medical Information)

Use this document to record key medical information in case of an emergency. You can keep the completed document in your wallet or car where it may be accessed by first responders.

In Case of Emergency (Key Medical Information)

This document is designed to record key medical information in case of an emergency. It may be accessed by first responders if you are unable to give the details yourself.

The information that is requested is intended to help first responders tailor care to your specific needs. All fields are optional.

When completed, keep the document in an easy-to-access location like your wallet or car.

How to complete the document:

  • Write information in English.
  • Record details for yourself only.
  • Update the information if anything changes.

A family member, friend, or healthcare professional can help you complete the information.

Personal Information

Include the owner’s basic information, such as name, date of birth, address, and emergency contacts. If a section does not apply to you, you may leave it blank or write “Not applicable”.

Current Medical Conditions

This section is for listing any health conditions you are currently experiencing. These are issues that affect your health on a regular or ongoing basis. Examples include:

  • Asthma
  • Diabetes
  • Epilepsy
  • High blood pressure
  • Heart conditions/ Heart attack
  • Anxiety or depression

Current Medications

This section is for listing any medicines or treatments you are currently taking. This includes anything used to manage symptoms, treat conditions, or support your general health. Examples include:

  • Prescription medications from a doctor
  • Inhalers
  • Allergy medications or EpiPens
  • Pain relief such as paracetamol or ibuprofen

Medical History

This section is for health conditions you had in the past but no longer experience. These may have been treated, resolved, or no longer require medical care. Examples include:

  • Healed broken bones
  • Past surgeries (e.g., appendix removal)
  • Past infections that required hospital treatment
  • Cancer that has been treated and is no longer active

Other Relevant Information

Use this space to include any additional details that may help paramedics support your care safely and effectively. Examples include:

  • Communication needs (e.g., hearing aids, speech difficulties)
  • Mobility needs (e.g., wheelchair, walking frame)
  • Cultural or religious requirements
  • Sensory needs (e.g., sensitivity to noise or bright lights)
  • Current and completed Care plans (Advance care plans or specialist care plans)

Paramedics will try to respect your needs and preferences, although this may not always be possible in every situation.

Attachments