About Us: Print Your Own Emergency Medical I.D. Card



Keep in your wallet and carry it with you wherever you go!


Just fill in the fields below, click "Create Emergency Medical I.D. Card", print, cut along the border, and laminate. Then put your Medical ID card in your wallet and carry it with you wherever you go!

NOTE: The information below is not retained or used. All fields are optional.


Enter Information Below:


First Name Int. Last Name Date of Birth
Street Address City State Zip Code
     
Physician Information
First Name Last Name Phone Number
     
Emergency Contacts
First Name Last Name Phone Number
Relationship    
   
First Name Last Name Phone Number
Relationship    
   
     
Vital Emergency Information (For example, diabetes, coronary artery disease, congestive heart failure)
     
(1) (2)
(3) (4)
(5) (6)
       
Your Medication (Enter drug name, dosage, and frequency. Example: Prozac, 10MG, 1xDay)
     
Drug Name 1 Dosage Frequency
Drug Name 2 Dosage Frequency
Drug Name 3 Dosage Frequency
Drug Name 4 Dosage Frequency
Drug Name 5 Dosage Frequency
     
Known Allergies
     
(1) (2)
(3) (4)
       
     
Blood Type Organ Donor
     
     
 
 
NOTE: This information is not retained nor used for any purpose other than generating and printing your medical information card.

AllenLawrence.com makes no guarantee regarding the completeness or accuracy of the information entered above. Information on the card is generated based on the information supplied by the user completing this card. Any risk arising from the use of the information above remains with the user.

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