Printable worksheet

Emergency Contact Sheet

Keep one copy where trusted family can find it. Do not include account passwords, Social Security numbers, or sensitive records on this page.

Person This Sheet Is For

Basic details for identification and contact.

Full name Phone Address Birth date

List the people who should be contacted in order.

NameRelationshipPhoneNotes

Useful details for appointments, urgent calls, or medication questions.

Primary doctor Doctor phone Preferred hospital Pharmacy Insurance provider Policy or member note Major allergies Key conditions

Keep this limited to details a helper might need quickly.

Spare key / access note Alarm or building contact Pet care contact Utility or home contact

Urgent notes