Health Forms

Instructions for Medical Information Form

  • Answer as many questions as possible.
  • Make blank copies of this form in order to update it and keep it current.
  • Fold the completed form in half and place it in a plastic bag with the top part facing the front of the bag.
  • Secure your plastic bag on the front of your refrigerator using tape. This may help responders easily find your complete medical information.
  • You may also choose to keep a copy in your wallet or handbag.


Click here to view the Medical Information Form.