General Information

Let’s start with the basics. What
happens if you have a medication reaction and end up unconscious? After
your spouse calls the paramedics, will he know who your primary care
physician is? Or what insurance you will be using? I know mine wouldn’t!

Or it’s your first appointment with a
new doctor and you are filling out the miles of forms, can you see the
small print on the back of that insurance card? I can’t!

This form is General Information. This
does not include drug allergies or any type of medical history, those
forms are coming! This is just the bare bones information.�

We’ve created two different versions of
this form. One can be filled out online,
just fill in the boxes and print. The other can be printed
and filled out by hand
-great for printing out and taking to Grandma,
after all she needs one too.