Medical Emergency Readiness Checklist

HomeMedical Emergency Readiness Checklist

La Madera · District 4 · Station 49

Be Ready for a Medical Emergency

A little preparation helps your household act quickly and gives responders the information they need. Use this checklist to build a printable action list.

Emergency happening now? Call 911.

Call immediately for unresponsiveness, absent or abnormal breathing, severe trouble breathing, life-threatening bleeding, suspected heart attack or stroke, or another life-threatening emergency. Follow the dispatcher's instructions. Do not delay the call to gather information or complete a form.

Download Your Emergency Medical Information Sheet

Our original, one-page form gives responders a quick reference for allergies, conditions, medications, support needs, and emergency contacts. It includes a place to note where care documents are kept.

Download the fillable Emergency Medical Information PDF

Save the PDF to your device before entering information. Type into the fields, save your completed copy, and print it, or print a blank copy and write by hand. Complete one per person. Keep a dated copy in a marked envelope on your refrigerator and tell your household and caregivers where it is. Review it after medication or health changes.

Keep completed forms private. Do not send medical details through this website, our contact form, or email. The PDF is for you to complete and keep. It is an information sheet, not an advance directive or a DNR / medical order. Keep applicable signed care documents with it.

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Your Medical Emergency Readiness Check

This checklist asks only about preparation, not personal medical details. Answers stay in this browser when browser storage is available and are not submitted to the department. On a shared device, use Clear My Answers when finished.

Prepare Your Medical Information

1. Does each household member have an up-to-date emergency information sheet?
2. Is your medication list current, including doses and frequency?
3. Can your household quickly find your medical information and care documents?

Help Responders Reach You

4. Is your address easy to see from the road, including at night?
5. Have you planned for gates, locked doors, pets, and a clear route to the person?

Know What to Do

6. Does everyone know to call 911 immediately for a medical emergency?
7. Can household members give the dispatcher the exact location and describe what is happening?
8. Have you considered CPR, AED, and first-aid training?

Plan for Everyday Medical Needs

9. Are emergency contacts and a backup caregiver easy to reach?
10. Have you planned for essential medicines, equipment, and power interruptions?

Your Household Action List

Choose answers above to create your list.

    Guidance: National 911 Program, American Red Cross first-aid steps, National Institute on Aging care planning, and Ready.gov medical preparedness.

    Sandoval County Fire & Rescue - La Madera / District 4 / Station 49