Every well-stocked home has a first-aid kit. But what items should you have on-hand if you're headed for the hospital?1. Basic Patient Information Form
For each family member, create a document that includes their:
- Full name
- Date of birth
- Address and phone
- Emergency contact name, daytime phone, evening phone and relationship to patient. Remember, you may or may not be with the person needing medical attention. Make sure doctors know where to reach you!
- Medical alerts. List any allergies, or conditions like diabetes or heart disease, that medical staff should be aware of.
IF a family member doesn't have any health conditions or enough information to create a Medical Summary Sheet (see below), summarize your medical history on this form.
If the form is for a child or minor, include all of the above, plus:
- Full names for the parent(s) or legal guardian(s)
- Contact information for the parent(s) or legal guardian(s)
- Any specialized information about your child, such as communication issues or disabilities
- Indication of if/how the child is covered by health insurance. The details of the insurance can be on a separate form. See Insurance Information below.
It may be wise to keep up to three copies for each Patient Information document. In a medical emergency, you may need to provide this information to emergency medical technicians, the emergency room attendants or hospital admitting staff. Don't be surprised if you have to fill out individual forms once you arrive at a facility. Each facility has its own format. Your Family Medical Emergency Grab 'n Go Kit is designed to help you with the information, not necessarily replace forms that may be required.