Emergency Snapshot
Mary
Thompson
DOB March 4, 1944
Printed 9/16/2026
Updated 9/16/2026
AllergiesCRITICAL
- Penicillin — Severe · hives, swelling
- Sulfa drugs — Moderate · rash
Advance directive, POA and code statusCRITICAL
- Advance directive — Fireproof box, bedroom closet — copy with Dana
- Power of attorney — Attorney's office (Baker & Lowe), copy in home file drawer
Patient
Mary Thompson
Phone: (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
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 and pharmacy
- Dr. Anita Patel — Primary care · (614) 555-0400 · Riverside Family Medicine
- Larkspur Pharmacy — Preferred pharmacy · (614) 555-0777 · 45 Main St
Insurance
- Medicare — Part A & B · Member 1EG4-TE5-MK72
- AARP Supplement — Plan G · Member 9928-4471