Put these items on the front:
- Name
- Street Address
- City, State, Zip
- Phone (Home, Work)
- Fax No
- Birth date
- Blood Type
- Social Security No.
- Health Insurance Carrier and Individual and Group #
- Physicians
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Put these items on the back:
- Emergency Contacts
- Conditions, Disability
- Medications
- If you take medication that cannot be interrupted without serious
consequences, make sure this is stated clearly and include:prescriptions: dosage, times taken other details
- Instructions: i.e.: take my gamma globulin from the freezer, take
my insulin from the refrigerator.
- Name, address, phone and fax numbers of pharmacy where you get your
prescriptions filled.
- Assistance Needed
- Allergies
- Immunization Dates
- Communication/Equipment/Other Needs
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