Free Printable Emergency Information Sheet for Seniors and Doctor Visit Notes Page

Two pages every family caregiver ends up needing, free to print.

These are two real pages from the DailyWellJournals Caregiver Medical Binder. The Emergency information page puts the address, main contacts, doctor, pharmacy, allergies, insurance number and where the medicines list is kept on one sheet to leave by the phone or on the fridge. The Doctor visit notes page has room for questions before the visit, what the doctor said, tests ordered, medicine changes and follow-up, so the details don't depend on someone's memory afterwards.

What's included

• Emergency information (1 page)
• Doctor visit notes: before, at and after the visit (1 page)
• A page showing the full binder and other caregiver printables

Print the visit notes page before each appointment. If these help, the full 34-page binder adds medicine lists, appointment and test logs, insurance pages, expense trackers and more.

Format

2 PDF files: US Letter and A4.

Sizes

US Letter (8.5 x 11 in) and A4 (210 x 297 mm), each laid out for its own paper size. Same pages in both. Use Letter in the US and Canada, A4 almost everywhere else.

How to download and print

1. After checkout, your download is ready right away. The link is also in your email receipt.
2. A computer is easiest for saving the files.
3. Open the PDF and print at 100% or "Actual size" (not "Fit to page") on Letter or A4 paper. A home printer or a local print shop both work.

For personal record-keeping only. Not medical advice. Always follow your doctor's, pharmacist's, or care team's instructions.