EMERGENCY CONTACT INFORMATION

User Guide: Emergency Contact Form

Overview

This Emergency Contact Form allows you to organize and document important personal, medical, and emergency contact information. Once completed, you can print the form to keep in an accessible location for emergency situations.

How to Use the Form

Filling Out the Form

1. Personal Information Section
   • Enter your full legal name
   • Provide your date of birth
   • Fill in your complete address
   • Include all relevant phone numbers (home, mobile, work)
2. Emergency Contact Sections
   • Provide details for at least two emergency contacts
   • Include their full names, relationships to you, and all available phone numbers
   • Add their complete addresses
3. Medical Information Section
   • Enter your primary physician's name and phone number
   • Provide insurance company details and policy number
   • List any allergies, current medications, and medical conditions
4. Additional Information Section
   • Include other important contacts (friends, relatives, neighbors)
   • Add any special instructions for emergency personnel

Printing the Form

1. After completing all relevant fields, click the "Print Form" button
2. The print preview will show a clean, printer-friendly version
3. Adjust your printer settings as needed and print the document

Storing the Form

• Keep the printed form in an easily accessible location
• Consider placing it on your refrigerator or in your emergency kit
• Inform family members where the form is located
• You may want to provide copies to your emergency contacts

Tips for Completing the Form

• Use pen with permanent ink if filling out by hand
• Update the information regularly (at least once a year)
• Be as thorough as possible in the medical information section
• Include alternative contacts in case primary contacts are unavailable

Privacy Considerations

• This form contains sensitive personal information
• Store it in a secure but accessible location
• Consider shredding old versions when updating information

Browser Compatibility

• The form works in all modern browsers
• For best results, use the latest version of your browser
• JavaScript must be enabled for the print functionality

Troubleshooting

• If the print button doesn't work, check your browser's pop-up settings
• You can use your browser's print function (Ctrl+P or Cmd+P) as an alternative
• Ensure all fields are visible before printing

Remember to review and update your emergency contact information regularly, especially after any major life changes (moving, change in health status, or changes in relationships).