Care Document Generator

Your loved one's been in an accident.
The doctor asks:

"What medications are they on?"

What follows is a list of questions medical staff might want answers to.

Sit with your loved ones, go through them, then save/print the results.

[Name] - [Symptom] - [How severe it is]
Peanuts - Shortness of breath, difficulty breathing - Moderate
Codeine - Vomitting - Severe
[Name] - [Dose and Frequency]
Glipizide 5MG Tablet - 15 MG Daily, 10 MG morning, 5 MG night
Metformin Tablet - 850MG 3 times a day
[Name] - [Amount Taken]
Pu-erh Tea - Daily
Fish Oil 1000MG Capsules - 1 capsule daily
[Name] - [Year Diagnosed] - [Notes if any]
High Blood Pressure - 1992
Rheumatoid Arthritis - 2003 - Oral medication not effective starting 2007
[Name] - [Notes]
Kidney issues? - Was bloated for 6 months when 8 years old, condition went away after a few months of medication
Elbow surgery in 1997
[Name] - [Relationship] - [Number]
John - Father - 1111 1111
Veronica - Daughter - 2222 2222

A legal document signed by the patient in advance to signify what kind of medical care they want if they are unable to make decisions for themselves. Its effect varies by country. Wikipedia

The person(s) the patient has legally appointed to make healthcare / financial decisions on their behalf if they no longer have the mental ability to do so themselves. Its effect varies by country. Wikipedia

Generated
(None of your data is saved.)
Copied
Copy to Clipboard
Keep copies in your phones, and consider keeping copies in glove boxes, first aid kits, etc.

Some say that EMTs check your fridge, so it might be worth thinking about printing out a copy and putting it there if your elderly loved ones live alone. It's free and might make a difference.

Medical personnel might go through wallets to figure out who people are, so do consider wallet cards too. I've tried to generate these (The "Card Format" button above) so that you can cut them out, but I can't seem to perfect it. If nothing else it should give you a starting point.

Most mobile devices allow you to create PDFs of webpages. I recommend you tap/click "COPY TO CLIPBOARD" and paste this data in your notes / email etc to keep a copy first, and then look up how to create a PDF on your device.

You should also have an option to "Save as PDF" when you're printing on desktop.
Back

Why'd you make this?

I made this because I realized something:

If something happened to my parents and I had to call an ambulance, I wouldn't be able to tell the emergency responders information they needed to know.

And it's not even a matter of just knowing it; I don't know how well I'd react under that stress. Would I forget something important? Would I even be contactable?

It was about being prepared and peace of mind.

Made by Adam Chan