Emergency Patient Information Forms

In an emergency, will you be ready?

In a serious emergency, every second counts.  When EMTs come rushing through your front door, they will ask you to quickly produce a wide variety of information to help guide the emergency care of your loved one.  Precious time can be wasted while you desperately search for medications, medical history, insurance information, and other vital information.

The Solution:

Riverdale Hatzalah's Emergency Patient Information Forms.  These forms allow you to compile all your relevant medical and demographic information in a clear format - quickly accessible to EMS rescuers.

3 Steps to Protect Your Family:

  1. Download the form

  2. Complete the form

  3. Hang the form on your refrigerator