mirror of
https://github.com/snachodog/phone-setup-for-memory-loss.git
synced 2025-04-10 13:31:24 -06:00
60 lines
1.6 KiB
Markdown
60 lines
1.6 KiB
Markdown
# 🚨 Emergency Contact Sheet for [Name]
|
||
|
||
---
|
||
|
||
## 🏠 Location
|
||
|
||
You are currently staying at:
|
||
|
||
**Address:**
|
||
[Steve & Sandra's House Address]
|
||
[City, State, ZIP]
|
||
|
||
---
|
||
|
||
## 📞 Primary Contacts
|
||
|
||
| Name | Relationship | Phone Number | Notes |
|
||
|--------------|----------------|--------------------|-----------------------|
|
||
| Steve | Son-in-law | [Phone Number] | Primary caregiver |
|
||
| Sandra | Daughter | [Phone Number] | Lives in same house |
|
||
| [Contact #3] | [Relation] | [Phone Number] | |
|
||
|
||
---
|
||
|
||
## 🚑 Emergency Services
|
||
|
||
| Service | Phone Number | Notes |
|
||
|------------------------|-------------|---------------------------|
|
||
| Police / Fire / Ambulance | 911 | In case of immediate danger |
|
||
| Hospital Name | [Phone Number] | [Address, if useful] |
|
||
| Doctor / GP Name | [Phone Number] | Primary care physician |
|
||
|
||
---
|
||
|
||
## 💊 Medications & Allergies
|
||
|
||
- **Known Allergies:** [List any allergies]
|
||
- **Current Medications:**
|
||
1. [Medication 1 – Dosage, Frequency]
|
||
2. [Medication 2 – Dosage, Frequency]
|
||
3. [Medication 3 – Dosage, Frequency]
|
||
|
||
---
|
||
|
||
## 📄 Important Medical Information
|
||
|
||
- **Primary Diagnosis / Condition:** [Condition, e.g., Short-term Memory Loss due to Hypoxia]
|
||
- **Other Medical Notes:**
|
||
- [Any important medical history or notes]
|
||
|
||
---
|
||
|
||
## 🗒️ Additional Notes
|
||
|
||
[Use this space for any specific instructions, insurance info, or extra reminders.]
|
||
|
||
---
|
||
|
||
_Keep this sheet in a visible, accessible place (e.g., on the fridge or near the phone)._
|