Emergency Contact Form

Stay prepared and organized in crisis with our comprehensive Emergency Contact Form Charts. Download for free and ensure the safety of your loved ones.

By Audrey Liz Perez on Feb 27, 2024.

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What is an Emergency Contact?

An emergency contact is someone you designate to be contacted in an emergency or crisis. This individual should be someone you trust, knowledgeable about your details, medical conditions, and preferences, and can be a reliable source of support during difficult situations. Emergency contacts may be family members, friends, neighbors, or even coworkers, but the critical factor is their ability to respond quickly and effectively in times of need.

An is a vital document containing comprehensive information about these designated individuals, ensuring their details are readily accessible in a single, organized location. The form serves as a reference point for you, your family, or emergency responders to quickly identify and reach out to the appropriate contacts when time is of the essence.

The form typically includes the following information:

  • Contact details: This includes your emergency contact's full name, primary and secondary phone numbers, and email address. Providing multiple means of communication increases the chances of reaching your contact during an emergency.
  • Relationship: Clearly specifying your connection to the emergency contact (e.g., spouse, parent, friend) help responders understand the contact's relevance and potential role in decision-making or support.
  • Preferred contact method: Indicating the preferred method of communication (phone, text, email, or any) ensures that your emergency contact can be reached most effectively and conveniently.
  • Type of emergencies: Listing the types of emergencies for which the contact should be notified (medical, fire, natural disaster, personal crisis, or other) helps streamline the communication process and involve the right individuals in specific situations.
  • Addresses: Including your emergency contact's home and work addresses of your emergency contact allows responders or support personnel to locate them if needed, especially in situations where phone or email communication is not possible.

Printable Emergency Contact Form

Download this Emergency Contact Form and store all of your client’s emergency contact information.

How does this Printable Emergency Contact form work?

Understanding the importance of being prepared for emergencies is crucial, and having a well-organized Emergency Contact Form can make all the difference in such situations. Our printable Emergency Contact Form is designed to help you compile and store essential information about your designated contacts in a clear and easily accessible format. 

This guide will walk you through the process of using and filling out the template, ensuring you have all the necessary details at your fingertips when it matters the most.

Step 1

Download the emergency contact form template. Obtain the Emergency Contact Form PDF from a trusted source, such as Carepatron, and download it to your device.

Step 2

Print the form. Print out as many copies of the form as you need, depending on the number of emergency contacts you wish to designate.

Step 3

Fill in the required information. Provide accurate and up-to-date information for your emergency contacts, including their name, relationship to you, phone numbers, email addresses, home and work addresses, preferred contact methods, and the types of emergencies they should be contacted for.

Step 4

Share the form with your emergency contacts. Ensure your designated contacts know their role, and provide them with a copy of the filled-out form for their reference.

Step 5

Store the completed form in a safe and accessible location. Keep the form where it can be easily found during an emergency, such as in a folder or binder with other necessary documents.

Emergency Contact Form example (sample)

To assist you in filling out your Emergency Contact Form, we have prepared a downloadable filled-out sample form. This example is a valuable reference, demonstrating how to provide accurate and detailed information for your emergency contacts. By examining this sample, you can better understand the specific information required and the appropriate way to present it in the form.

Download this Emergency Contact Form Example (Sample) here:

Emergency Contact Form example (sample)

When to use these Emergency Contact Form templates?

Emergency Contact Form templates should be used in various situations where having a readily accessible and organized document containing your designated contacts' information is vital. These situations include:

Preparing for medical emergencies

If you or a family member has a known medical condition or allergy, having an Emergency Contact Form on hand can be crucial for medical professionals to quickly notify your designated contacts and make informed decisions about your care.


When you travel, especially to unfamiliar places or internationally, having an Emergency Contact Form can be helpful in case of accidents, lost documents, or other emergencies. Sharing this information with travel companions can also provide additional peace of mind.

For children and elderly family members

If you have children or elderly family members, having an Emergency Contact Form can be essential to ensure that their caretakers or school officials have the necessary information to contact you or other designated contacts in case of an emergency.

Natural disasters or other large-scale emergencies

In the event of a natural disaster, such as an earthquake, flood, or hurricane, having an Emergency Contact Form can help emergency responders or relief organizations quickly contact your designated contacts to inform them of your situation and coordinate support.

Personal crises

During personal crises, such as a mental health emergency, financial hardship, or legal trouble, an Emergency Contact Form can help allow friends, family members, or support professionals to assist and guide.

In all these situations, the Emergency Contact Form templates ensure that your vital contact information is well-organized, easy to access, and available. Using these templates, you can effectively prepare for emergencies and maintain clear lines of communication with your designated contacts.

Who is this Emergency Contact Form PDF for?

The Emergency Contact Form PDF is designed to cater to various people and situations. Its primary purpose is to provide reliable communication during emergencies and ensure you have all the necessary information about your designated contacts at your fingertips. Here's a breakdown of who can benefit from using this form:


People of all ages and backgrounds can benefit from having an Emergency Contact Form. It provides a safety net during unforeseen circumstances, ensuring that friends or family members can be reached when needed.


For families, the form is essential in maintaining open lines of communication during emergencies. Each family member can have their own form, making coordinating and staying informed about each other's well-being easier.


Those who provide care for others, such as elderly parents or individuals with special needs, can use the Emergency Contact Form to keep critical contact information organized. It ensures that they can quickly reach the necessary parties in an emergency.

Schools and Childcare Facilities

Educational institutions and childcare centers can use the Emergency Contact Form to maintain up-to-date information about each child's emergency contacts. This ensures they can promptly notify parents or guardians in case of any emergency involving the child.

Employers and Organizations

Companies and organizations can utilize Emergency Contact Forms for their employees or members. This enables them to effectively communicate with the appropriate contacts during workplace emergencies, accidents, or personal crises.

Health and Fitness Centers

Gyms, sports clubs, and other fitness facilities can use the Emergency Contact Form to collect important information about their clients, ensuring they can reach the designated contact in case of accidents or health emergencies during workouts.


People embarking on trips or extended travel can use the Emergency Contact Form to keep their critical contact information organized and accessible. This can be particularly helpful in lost or stolen belongings, accidents, or medical emergencies abroad.

Electronic Health Records Software Feedback

Why use this Emergency Contact app?

Carepatron stands out as the ideal platform for managing emergency contact information for several reasons:

User-friendly interface

Carepatron's intuitive design allows users to easily navigate the platform and manage their emergency contact forms without hassle. The simple layout ensures that even those with limited technical skills can confidently use the app.

Customizable templates

The app offers a variety of customizable templates, making it possible for users to tailor the emergency contact forms to their specific needs. This flexibility ensures that each individual can create a form that accurately reflects their unique requirements and preferences.

Easy access

With Carepatron, you can access your emergency contact forms from any device with internet connectivity. This feature is crucial during emergencies when you need to retrieve your contact information quickly. Having your emergency contact details stored in a cloud-based app ensures you can access them anytime, from anywhere.

Collaboration and sharing

Carepatron makes sharing your emergency contact forms with family members, friends, or caregivers easy. The app's collaboration features allow you to grant access to specific individuals, ensuring that the right people can access your emergency contact information when needed.

Regular updates and improvements

Carepatron continuously improve its platform to ensure users receive the best possible experience. The app's developers frequently release updates and new features, keeping the platform up-to-date with the latest technology and security standards.

Carepatron is the best choice for organizing and maintaining your Emergency Contact Forms due to its user-friendly interface, customizable templates, secure storage, easy accessibility, collaboration features, and commitment to continuous improvement. By choosing Carepatron, you can trust that your essential information is well-managed and readily available when needed.

Electronic Health Records Software
How to use the Emergency Contact Form?
How to use the Emergency Contact Form?

Commonly asked questions

How to use the Emergency Contact Form?

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.

How to interpret the Emergency Contact Form?

Interpreting the Emergency Contact Form is straightforward. The form is designed to present essential information about your emergency contacts in a clear and organized manner. When an emergency arises, you or others can quickly reference the form to determine who to contact, their relationship with you, and their preferred method of communication.

How should Emergency Contact Form be stored?

The Emergency Contact Form should be stored in a secure and easily accessible 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.

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