Free printable
Medical Information Sheet
By Jason Su · Updated September 18, 2026
In an emergency, the first question a paramedic asks is what you take and what you are allergic to. This sheet answers both in one page, and it gives your family the doctor, pharmacy, and insurance details they would otherwise hunt for at the worst possible moment.
What belongs on it
Three things, in this order of urgency: allergies, medications, and conditions. Everything else — doctors, pharmacy, insurance — supports those.
Keep it current. A medication list that is two years out of date is worse than no list, because it is confidently wrong.
The sheet
The essentials
Name: ______________________________________________
Date of birth: ____________________ Blood type: ____________
Sheet last updated: ___________________________________
Allergies and reactions
| Allergy | Reaction | Severity |
|---|---|---|
Current medications
| Medication | Dose | How often | Prescribed for |
|---|---|---|---|
Medical conditions
____________________________________________________
____________________________________________________
____________________________________________________
Implants and devices
- Pacemaker
- Joint replacement
- Insulin pump
- Other: _________________________________________
My care team
| Role | Name | Phone |
|---|---|---|
| Primary doctor | ||
| Specialist | ||
| Pharmacy | ||
| Dentist |
Insurance
Medicare number: _____________________________________
Supplemental or private plan: ________________________
Policy number: _______________________________________
My healthcare agent
Name: ______________________________________________
Phone: _____________________________________________
Their copy of my advance directive is kept at: ____________
How to use it
- Fill it in from your actual pill bottles, not from memory. Doses and spellings matter.
- Put a copy in your emergency binder and a copy on the fridge. The fridge copy is the one that gets read.
- Take it to every appointment and ask the nurse to update it against their record.
- Redo it whenever anything changes — a new prescription, a stopped medication, a new allergy.
Frequently asked
Should I include vitamins and over-the-counter medicines?
Yes. Supplements interact with prescriptions, and a surgeon needs to know about anything you take regularly.
Is it safe to leave medical details on the fridge?
It is a real trade-off. Your name, conditions, and medications visible to a visitor is a privacy cost. What most families do: keep the full sheet in the binder, and put a shorter card on the fridge with allergies and the “call first” number only.
Does this replace an advance directive?
No. This tells people what you are taking. An advance directive tells them what treatment you want. You need both — start with your state’s form.
What if I take a lot of medications?
Attach a pharmacy printout and write “see attached” on the table. Pharmacies will print a current list on request, and it is more accurate than handwriting.
Next step
Pair this sheet with your state’s advance directive and the Master Checklist, then record where all three are kept using the free Checklist Builder.
This is general information, not medical advice. Please confirm your medication list with your doctor or pharmacist, and talk with a licensed professional about your care.