IN CASE OF EMERGENCY (ICE)
Medical Information Form

Nobody wants to have a medical emergency.  But if you have one, there are certain kinds of information that all responding emergency medical personnel need to know immediately:  your medical history and your medications.   It isn't always easy to remember, or worse yet, you may not capable of reporting these things in a medical emergency. 

We have created a two page form to help you have the information on-hand and readily available to medical first responders.  The first part is for your medical history; the second part is for your medications.  Even if you don't take any medications, write that on the form.  If you only take over-the-counter medications, write that on the form.  Put all medications that you take on the form including over-the-counter medications, prescription medications, herbs and vitamins.

Check the form for accuracy once a month.  You will need to update it whenever your prescriptions change in any way or your health changes. 

These forms are ESPECIALLY important if you live alone, or are home alone a lot.

Print out the forms; complete one for each member of the family; put the forms in an envelope and attach them to your refrigerator; write ICE (In Case of Emergency) in large letters on the outside.

DO IT NOW--IN CASE OF EMERGENCY (ICE) MEDICAL FORM