Emergency contact sheet template
A family emergency contact sheet for the fridge: family members, neighbors, doctors, school, utilities and poison control, with your address for 911.
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The sheet is for the babysitter, the neighbor who comes in when the alarm goes off and the paramedic. Large address, Poison Control and 911 at the top; the rest below. Replace it when a number changes.
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Emergency Contacts
Keep this on the fridge
Emergency: call 911. Say the address below first, then what happened.
123 Main St, Apt 4, Austin, TX 78701
Between 12th St and 13th St, blue door, apartment entrance on the side
Poison Control: 1-800-222-1222 (24 hours, free)
Who lives here
| Name | Date of birth | Allergies, conditions, medications |
|---|---|---|
| Jordan Lee | 1984-03-14 | Penicillin allergy |
| Taylor Kim | 1986-07-02 | Asthma, inhaler in the kitchen drawer |
| Riley Lee | 2018-11-20 | Peanut allergy, EpiPen in the backpack |
Call these people
| Name | Relationship | Phone | Alternate phone |
|---|---|---|---|
| Taylor Kim (work) | Parent | (555) 010-0202 | (555) 010-0203 |
| Jordan Lee (work) | Parent | (555) 010-0000 | ย |
| Sam Park | Neighbor, Apt 5 | (555) 010-0404 | ย |
| Casey Nguyen | Grandmother, San Antonio | (555) 010-0505 | ย |
Doctors, school, utilities
| Who or what | Name | Phone |
|---|---|---|
| Family doctor | Dr. Casey Nguyen, Hill Country Family Medicine | (555) 010-0606 |
| Pediatrician | Dr. Sam Park, Austin Kids Clinic | (555) 010-0808 |
| Dentist | Dr. Taylor Kim, Downtown Dental | (555) 010-0909 |
| Pharmacy | Hill Country Pharmacy, 500 Congress Ave | (555) 010-0707 |
| School | Lakeview Elementary, Room 12 | (555) 010-1010 |
| Gas | Texas Gas Service | (800) 010-1313 |
| Electric | Austin Energy | (512) 010-1414 |
| Water | Austin Water | (512) 010-1515 |
Insurance
| Health | Blue Cross, group 12345, member ID on the card in the wallet |
|---|---|
| Home or renters | Contoso Insurance, policy HO-778899, (800) 010-1616 |
| If we are separated | If we cannot get home: meet at the Lakeview Elementary front steps. Out of town contact: Casey Nguyen in San Antonio. |
|---|
How to use it
Type your address with the cross streets or landmarks an ambulance would need, who lives in the house with any allergies, and the people to call. Add doctors, the school, utilities and insurance as one line each. The sheet prints on one page with the address, Poison Control and the 911 line in large type at the top, so anyone in the house can read it from across the kitchen.
Put one on the fridge and one inside the front hall closet. Give a copy to the babysitter with the babysitter information sheet and photograph it for your phone. Check it when the clocks change.
Things to watch
Children and visitors should be able to use it, so the address line comes first and is written the way you would say it on the phone. Keep account and policy numbers short or point to where the card is, because the sheet hangs where guests see it. If someone in the house has a severe allergy or a condition like epilepsy, put where the medication is in the same cell.
Calculators that go with this
Frequently asked questions
Why is the address on an emergency sheet?
In a panic people forget it, and a babysitter or guest may never have known it. Mobile 911 calls do not always give the dispatcher an exact location, so the caller reads it from the sheet.
Should I put dates of birth on it?
Optional. Paramedics ask for age or birth date, and for a child it decides medication doses. Leave it off if the sheet hangs where many visitors pass.
What about a wallet card?
Fold a copy and keep it in the glove box or with your child's school papers. For a sitter, the babysitter information sheet template has the same emergency block plus bedtimes and house rules.
Is what I type saved anywhere?
No. Everything stays in your browser and nothing is sent to our server. If you refresh the page it is gone, so print, save a PDF or download the DOCX when you are done.