A free, printable template

Emergency care card template for an aging parent

If your parent ever needs an ambulance, an ER, or a fill-in caregiver, the essentials should be in one place — not in someone’s memory or a group text. Print this card, keep one on the fridge and one in a wallet, and update it whenever something changes.

Emergency care card

Name:

Date of birth / age:

Address:

Phone:

Medical essentials

Allergies:

Conditions:

Blood type:

Advance directive / DNR — where kept:

Current medications

Medication	Dose	When taken

Contacts & coverage

Emergency contact & relationship:

Primary doctor & phone:

Pharmacy & phone:

Insurance provider & member ID:

The emergency card your family hopes it never needs

WithUs keeps this card current and one tap away on every family member’s phone — so whoever is with your parent when something happens has the allergies, medications, and contacts in front of them, and can print or share it in seconds.

Create your family’s Care Circle — free

WithUs is not a medical provider and does not sell your family’s care information. This template is for organization and does not replace medical advice. Always follow your doctor’s and pharmacist’s instructions. It is not an emergency service — in an emergency, call your local emergency number.

Related resources

Medication list template for an aging parent →

Doctor visit checklist for an elderly parent →

Sibling care coordination checklist →