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Emergency Contact Form

Help your patients stay prepared and organized when an emergency occurs with our Emergency Contact Form. Download for free today!

Audrey Liz Perez avatar

By Audrey Liz Perez on Aug 2, 2025.

Fact Checked by Ericka Pingol.

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Emergency Contact Form Template

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Commonly asked questions

To use the Emergency Contact Form, download and print the template, fill in the required information for each emergency contact, and store the completed form in a safe and easily accessible location. Be sure to provide a copy to your designated contacts, so they know their role and have the necessary information.

The Emergency Contact Form should be stored in an easily accessible and secure location. Consider keeping the form in a folder or binder with other necessary documents, such as insurance policies and medical records. It is also a good idea to have a digital backup of the form, either on your device or in a cloud-based storage service, to ensure you have access to the information in case the physical copy is lost or damaged.

A responder should inform emergency contacts promptly and empathetically, providing clear and concise information about the situation and the individual's condition while offering reassurance and guidance on the next steps if necessary.

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