Medication and Emergency Contact Card

Full name, address, phone#:

Drug Allergies: Description and degree of reaction, severe, bad, noticeable, slight.

Drugs and dosages: Proper name, generic name and/or common name + milligram dosage and times per day.

Known health conditions:

Pharmacy: (Name and phone#)

Primary Doctor: (Name and phone and emergency phone#)

Emergency Contact(s): (Name and phone#)

[This can also be used for the *ICE* (In Case of Emergency) contacts on cell phones.]

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