Be Prepared When Seconds Count
Share Vital Medical Information with First Responders
When a medical emergency occurs, seconds matter—and clear, accurate information can make all the difference.
The Emergency Information Form is a simple but powerful tool that allows you to document:
- Medical conditions
- Allergies
- Current medications
- Emergency contacts
- Preferred hospital or provider
- Special instructions for care
By filling out this form and placing it in a highly visible location—such as your refrigerator, front door, or bedside—you give paramedics and firefighters immediate access to the details they need to provide safe and effective care, even if you or a loved one are unable to speak.
Why This Form Matters
- Faster, safer care: Reduces delays caused by searching for critical information.
- Helpful in any emergency: Whether you’re home alone, unconscious, or in a high-stress situation, the form speaks for you.
- Great for vulnerable individuals: Ideal for seniors, people with chronic conditions, caregivers, or households with young children.
- Updated as needed: You can easily revise the form as your medications or health conditions change.
Need Help?
If you have questions about how to complete or use this form, feel free to contact the Bluffton Township Fire District Community Risk Reduction Team. We’re here to help.
Download & Instructions
- Download the Emergency Information Form (PDF)
- Print and fill it out completely
- Place it in a visible location (we recommend taping it to the refrigerator or inside a front-facing cabinet)
- Update it regularly and ensure household members know where to find it