Print double-sided on heavy card stock. Cut along borders. Standard credit card size (85.6 × 54 mm).
Front
Front — Emergency Card
MY MEDICAL INFORMATION
For emergency responders — Keep updated
112
1. Name and age
Name: _____________ | DOB: ___/___/___ | Blood type: ___
2. Conditions
Heart, diabetes, epilepsy, asthma: _________________________
3. Medications
Daily medicines: _________________________
Back — flip horizontally when printing double-sided
Back — Emergency Card
MY MEDICAL INFORMATION
112
4. Emergency contact
Name: _____________ | Phone: _____________
5. Doctor
Dr. _____________ | Phone: _____________
- Do NOT include full ID numbers — use last 4 digits only if needed
Show this card to any first responder
Civilian Emergency Platform — civilianemergencyplatform.org