Medical Alerts / Conditions:
Anaphylaxis - If I have difficulty breathing, swelling on my face, wheezing, difficulty swallowing or rapid pulse I've been stung by a bee and could die: Get my epinephrine auto-injector in my purse or car, shoot in my outer thigh and get me to a hospital right away!
COVID-19
COVID-19 tested?: ( ) Yes() No
COVID-19 Vaccinated?: ( ) Yes() No
COVID-19 Vaccination Date:
Medical (RX) Presciptions:
Epinephrine injector - shoot in my outer thigh if I show any symptoms above!!!
Non Prescribed Drugs, Medications, Supplements:
Multi-vitamins
Allergies:
Extremely allergic to bee stings!
Blood Type:
Blood Type: A Pos
Other Important Info:
I highly recommend getting your own medical alert stickers - very inexpensive, easy to set up and they can save your life. Go to AccountMedical.com and subscribe now!
Emergency Contact - 1:
Name: John Sample
Phone: 201-123-1234
Emergency Contact - 2:
Name: Anne Sample
Phone:201-321-4321
Primary Care Physician:
Name: Dr. Alpha
Clinic: Fairview
Phone: 201-456-7890
Insurance Provider:
Carrier: Blue Cross
Subscriber / Policy #:3455-12333-4565
Group #: 314
Phone: 201-234-3456