Emergency Contact Sheet

 
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FOR EMERGENCY SERIVCES: DIAL 911
 
The best time to prepare for an emergency is before it happens. Fill out this sheet and keep it near each phone. Update the sheet when necessary and be sure to let family and caretakers know that it is available.
 
EMERGENCY NUMBERS
 
Poison Control Center:   1-800-222-1222
 
Hospital Name:  
 
Phone:  
 
Doctor’s Name:  
 
Phone:  
 
Dentist's Name:  
 
Phone:  
 
Pharmacy Name:  
 
Phone:  
 
Health Insurance Plan:  
 
Policy #:  
 
Emergency Contact Name:  
 
Phone: