Emergency Medical Form


What is the Emergency Medical Form?

This form is a document that can be printed and completed prior to having a medical emergency. Critical information, such as your medications, medication allergies, medical history, physician's name, and other personal information can be difficult to remember and organize during an emergency.

How does it help?

When 9-1-1 is called, firefighters trained as Emergency Medical Technicians (EMTs) and Paramedics respond to your location. Accurate emergency medical information is critical and enhances their medical therapies. This document provides for faster transfer of information to us and the hospital, allowing yourself or a loved one to receive the best treatment sooner.

What do I do with it?

The Emergency Medical Form can be kept anywhere....in your home, your purse, or your car. Print as many as you want. Print some for friends and family to use as well. This document is not limited to Lee’s Summit residents. Its purpose is to streamline information for you, ensuring you receive the highest level of pre-hospital care possible.

Click here to download the Emergency Medical Form.


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