Emergency Medical Form

What is an Emergency Medical Form?

As medical professionals, you definitely have considered what would happen if someone in your care had a medical emergency. Whether it's an employee, a client, a student, or a child you're looking after, they may be unable to convey crucial medical information themselves. 

Luckily, you can prepare for the worst-case scenarios. Even though we hopefully never have to use it, our Emergency Medical Forms give you peace of mind and allow you to quickly access the information medical providers or first responders may need in an emergency.

Our Emergency Medical Form template includes spaces for personal information, medical history, current medications, allergies, emergency contacts, and emergency medical authorization for an adult or child patient.

Time is of the essence in an emergency, so having emergency forms, such as emergency contact forms, already filled out and accessible for anyone who may need them is a great way to save crucial minutes and maximize the possibility of a good outcome for the patient.

Why is this form useful for physicians?

This emergency form gives physicians the information they need to make informed clinical decisions on their patient's behalf. In an emergency, the patient may be unconscious or unable to convey the necessary information.

As such, being prepared with completed emergency medical information is a fantastic idea as in an emergency- every second spent trying to gather information could count toward whether someone survives an emergency.

Emergency forms provide physicians with a patient's current medications, any existing medical conditions, emergency contact details, and allergies. This information may prove crucial in an emergency.

How does our Emergency Medical Form PDF work?

We've kept this Emergency Medical Form template concise so anyone using it in an emergency doesn't have to search through multiple pages. Everything that needs to be filled in is on a single page, so once you've downloaded the free PDF from the link on this page, let's go through the different steps to filling in this form.

Step 1: Ensure you gather personal information accurately

Begin by collecting relevant information, such as the patient's name, address, and date of birth. This information is crucial for swiftly accessing medical records during an emergency, streamlining the process, and saving valuable time.

Step 2: Obtain emergency contact information

The emergency contact is the primary point of contact in a medical emergency. Encourage patients to select someone who resides nearby or is readily reachable during emergencies. Record their name, contact number, and relationship to the patient for efficient communication in the emergency contact form section.

Step 3: Document medical history

Proceed to document the patient's medical history, including any existing medical conditions, current medications, allergies, and all information that could aid in effectively managing an emergency.

Step 4: Establish emergency medical consent

Facilitate the process of emergency medical consent, empowering individuals to authorize medical care on their behalf or on behalf of a dependent in case of an emergency. Get the patient's name, the authorized individual or entity, and the designated person responsible for granting consent. If the consent pertains to a child or dependent, complete the parent or guardian section accordingly.

Step 5: Ensure accessibility and security

Emphasize the importance of securely storing the completed emergency information form in a readily accessible location for emergencies. Whether maintaining physical copies or storing digital records, ensure easy retrieval alongside other essential information for swift action when needed.

Who can use this emergency medical information form?

Free printable Emergency Medical Forms are versatile for use across all different fields. Take a look at just some of the individuals this form can prove beneficial to:

Emergency department physicians and nurses

Perhaps the most apparent user choice for a medical emergency form is the people who see emergencies daily, that is, emergency responders, doctors, nurses, paramedics, or other clinical and medical staff who work in emergency departments. By having a form already filled out, you ensure these front-line workers who will be the first to arrive during an emergency situation have the medical details they need to make life-saving medical decisions. 

Assisted living or aged care facilities

The aging population may be taking several medications or have had specific medical treatments or conditions that will change how they need to be treated in an emergency. Ensuring this information is stored in writing and accessible when needed will help you offer the best possible care for your residents. 

Employers

Companies would be prepared with their medical information if an employee had a medical emergency. The form makes a great addition to a new employee's induction documentation. It will give both the company and employees peace of mind that their life-saving information is accessible if ever it is needed. 

Schools, daycares, or kindergartens

Once a child's parent drops them off for the day, they can be confident that information is provided if their child has a medical emergency. Our Emergency Medical Form is ideal for schools, daycare facilities, kindergartens, or any institution that looks after minors.

Nannies or babysitters

Even if it's just for the odd night here and there, ensure you are prepared for the worst-case scenario. By having your clients fill in an emergency Medical Information Form for the children you are looking after, you can demonstrate your initiative and capability for your service.