Free printable
An emergency information sheet for your parent, on one page
If your parent goes to the emergency room tonight, someone will ask for medications, allergies, insurance, and who to call. Get all of it onto a single printed page you can keep on the refrigerator and in every sibling's glovebox.
No credit card. The Emergency Information Sheet printout is free — ready in about five minutes.
Emergency Snapshot
Mary Thompson
DOB Mar 4, 1943 · 83 yrs
Emergency contacts
Dana Thompson (daughter) — (555) 214-9087
Michael Thompson (son) — (555) 662-1140
Allergies
Penicillin — severe · hives, swelling
Medications
Lisinopril — 10 mg · once daily, morning
Metformin — 500 mg · twice daily with meals
Conditions
Hypertension · Type 2 diabetes · Early memory loss
Advance directive
Fireproof box in the hall closet · copy with Dana
What's on the emergency information sheet
- Parent's name, date of birth, address, and phone
- Emergency contacts with relationship and phone
- Allergies and the reactions they cause
- Current medications with doses and schedules
- Known conditions and relevant history
- Insurance carrier, plan, and member ID
- Primary physician and preferred pharmacy
- Where the advance directive and power of attorney are kept
What the finished page looks like
This is the actual Emergency Snapshot, filled in with sample data. Yours prints the same way with your parent's information.
Emergency
Emergency Snapshot
Mary Thompson
DOB March 4, 1944 · sample data
Patient
Mary Thompson · DOB March 4, 1944
(614) 555-0142
218 Larkspur Lane Worthington, OH 43085
Emergency contacts
Dana Thompson (Daughter · primary) — (614) 555-0188
Michael Thompson (Son) — (614) 555-0119
Ruth Alvarez (Neighbor / key holder) — (614) 555-0233
Allergies
Penicillin — Severe · hives, swelling
Sulfa drugs — Moderate · rash
Medications
Metoprolol — 25 mg · twice daily
Levothyroxine — 75 mcg · morning, empty stomach
Atorvastatin — 20 mg · evening
Vitamin D3 — 2000 IU · daily
Conditions
Atrial fibrillation — diagnosed 2019, managed with metoprolol
Hypothyroidism — stable
Early-stage memory loss — evaluated Feb 2026
Physician, pharmacy, insurance
Dr. Anita Patel — Primary care · (614) 555-0400
Dr. Marcus Reyes — Cardiology · (614) 555-0611
Larkspur Pharmacy — Preferred pharmacy · (614) 555-0777
Medicare — Part A & B · Member 1EG4-TE5-MK72
AARP Supplement — Plan G · Member 9928-4471
Advance directive and power of attorney
Advance directive — Fireproof box, bedroom closet — copy with Dana
Power of attorney — Attorney's office (Baker & Lowe), copy in home file drawer
Want this page in your hands right now?
Print the blank version and fill it in by hand — no account, no email. Or create a workspace and it fills itself in, stays current, and reprints whenever something changes.
The blank template is free and always will be. Open the full-size sample.
Emergencies do not wait for you to find the folder
The hardest part of a 2 a.m. hospital call is not the drive — it is being asked twelve factual questions you half-remember. A printed emergency sheet turns that into handing over a piece of paper, and it works even when the family member who knows the most is unreachable.
Get emergency ready in under five minutes
A short guided start asks only for the essentials: your parent's name and date of birth, emergency contacts, allergies, medications, conditions, insurance, and the advance directive location if one exists. When you finish, your emergency sheet is ready to print. Everything else in MyKinFolder can wait for a calmer week.
One version, kept current by the whole family
Everyone you invite can update the same information, so there is no debate about whose copy is newest. When something changes, reprint the sheet and replace the copies on the fridge and in the go-bag.
Emergency information sheet: what goes in each block
Use this as a template if you are filling out a sheet by hand, or enter it once in MyKinFolder and print the completed page.
| Block | What to include | Why it matters |
|---|---|---|
| Identity | Full legal name, date of birth, home address | Hospital records are matched on name and date of birth |
| Call first | One family member, relationship, mobile number | Staff need a single decision-maker, not a list to work through |
| Other contacts | Siblings, neighbor with a key, caregiver | Someone local can get there before family flies in |
| Allergies | Each drug or food plus the reaction it caused | Changes what can be given safely in the first minutes |
| Medications | Name, dose, and schedule for everything current | Prevents duplicate or interacting doses |
| Conditions | Diagnoses, implants, pacemaker, recent surgeries | Affects imaging and treatment choices |
| Insurance | Carrier, plan name, member ID, group number | Admissions asks before anyone asks about care |
| Directive | Whether one exists, where it is kept, who has a copy | The document is only useful if it can be found |
Contacts, allergies, and medications print in larger type at the top of the page so they can be read at a glance.
There are people out there who are not in a state of mind to be organized — they need this.
— A former nurse and family caregiver
MyKinFolder was built by a family navigating care for a parent, with guidance from people who have worked on both sides of the hospital desk.
Common questions
- What information does a hospital ask for?
- Who to call, current medications and doses, allergies and reactions, known conditions, insurance carrier and member ID, and whether an advance directive or power of attorney exists and where it is kept.
- What belongs on a printable emergency contact list?
- Two or three family members with relationship and mobile number, the primary physician, the preferred pharmacy, a neighbor or building manager with a key, and whoever holds power of attorney. Put the person to call first at the top and label them clearly.
- Where should we keep the emergency sheet?
- Most families keep one on the refrigerator, one in the go-bag or glovebox, and a PDF on each sibling's phone. Because you can reprint it any time, having several copies is not a problem.
- Do we need to list the advance directive itself?
- You do not need to attach the document. Recording where it is kept and who has a copy is what hospital staff actually need in the moment.
- What if we don't have all the information yet?
- Start with contacts, allergies, and medications — those matter most in an emergency. The sheet prints with what you have and shows what is still missing, so you can fill in the rest over time.
- Can a neighbor or caregiver use it?
- Yes. It is written to be handed to anyone — a paramedic, a house sitter, a caregiver covering a weekend — without needing an account or a login.
Fill it in once. Reprint whenever it changes.
MyKinFolder keeps each parent's care information in a private workspace your family shares, so every printout is current. Profile capacity depends on your plan: Free supports one parent, while Premium supports two separate parent profiles.
Create my workspaceRelated caregiving guides
- How to care for elderly parents without losing your footing
- What to do when a parent refuses the care they need
- How to share caregiving with siblings without a fight
- Questions to ask at your parent's doctor appointment
- The emergency readiness checklist for an aging parent
- How to coordinate a parent's care without a 47-message group text