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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.

Tina Underwood
Page last updated on March 11, 2001