# Create an emergency health information sheet for my family

A one-page medical info sheet per family member for emergencies, babysitters, and caregivers.

- Topic: Personal Life & Wellbeing
- Framework: Few-Shot
- Level: Standard
- Tags: Health & Wellness, Analyze, Fill-in Template
- Source: https://www.thinkwithprompt.com/prompts/create-an-emergency-health-information-sheet-for-my-family

## Prompt

```text
Help me create an emergency health information sheet for each person in my household.

**For each person:** [NAME, DATE OF BIRTH, BLOOD TYPE IF KNOWN]
**Conditions diagnosed:** [LIST]
**Medications and doses (from labels):** [LIST]
**Allergies and reaction type:** [e.g. "penicillin - hives", "peanuts - anaphylaxis, carries epinephrine pen"]
**Doctors and pharmacy:** [NAMES AND PHONE NUMBERS]
**Insurance:** [PROVIDER AND MEMBER ID - or leave a blank line to fill in by hand]
**Emergency contacts:** [NAMES, RELATIONSHIP, PHONE]
**Important notes:** [e.g. "uses hearing aids", "has a pacemaker", "advance directive kept in X"]

Create:
1. A one-page sheet per person, with the most critical information (allergies, conditions, medications) at the top in a clear layout a stranger could read in 30 seconds.
2. A version for a babysitter or caregiver that adds routines and what to do in common situations, plus "call emergency services" instructions and my address written out.
3. A wallet-card version with only essentials.
4. A reminder schedule for reviewing and updating the sheets.

Copy medication details exactly as I gave them; mark anything missing [ADD]. Remind me where to store copies (fridge, wallet, phone) and to think about who should see sensitive details.
```

## What to fill in

- NAME, DATE OF BIRTH, BLOOD TYPE IF KNOWN
- LIST
- NAMES AND PHONE NUMBERS
- NAMES, RELATIONSHIP, PHONE
- ADD

Free to copy and use. From ThinkWithPrompt (https://www.thinkwithprompt.com/), a library of 2,663 curated AI prompts.