Locate this file with your desktop computer browser using the shortened URL on card. ... 12) Insurance Provider // Phone
ERprofile
ERdocs
60 seconds can save your life!
Locate this file with your desktop computer browser using the shortened URL on card.
The PASSWORD to open this protected PDF file is the patient’s last 4 - digit's of phone number. 1) Full Name: Joe Trama 2) Address: 123 Main St., Any Town, Ca., 10278, USA 3) Phone: 555-555-1234 4) Email:
[email protected]
SAMPLE ONLY
5) Birthdate: April 1, 1955 6) Gender: Male 7) Blood Type: O 8) Diabetic: No 8) Donor: Yes 9) Height // Weight: 6’- 0” // 180 pounds 10) Medical POA: Tammy Trama, wife, 555-555-1212
11) Emergency Contact Name // Phone: Tammy Trama, wife // 555-555-1212 12) Insurance Provider // Phone: Red Cross Red Shield // 555-555-1212 13) Insurance Group Number: AD-0789654 14) Insurance ID Number: HK-56784256 15) Primary Care Physician // Phone: Dr David Smith // 555-555-1212 16) Specialty Care Physician(s) // Phone: Dr Jane Graham, hip, 555-555-1212 // Dr Charles Jones, heart, 555-555-1212 // Dr Joseph Manerd, allergist, 555-555-1212. 17) Dental // Phone: Dr Banwart, Dentist, 555-555-1212 // Dr Jason Mapes, orthodontist, 555-555-1212 18) Last Hospital Visited // Phone: Los Angeles General Hospital // 480-555-1212 19) Last Lab Tests // Phone: Lab Care Co. // 555-555-1212 20) Allergies: Peanuts, sinus, penicillin. 21) Major Conditions: Asthma, allergies, high blood pressure 22) Medical Devices or Implants: 1) Titanium hips, both right and left. 2) Heart monitor in chest. 23) Regular Daily Medications: 1) FloVent Inhaler 250, 2 puffs, twice daily. SEE ADDITIONAL PAGES BELOW
www.ERdocsINFO.com
2.2v
ERprofile
ERdocs
60 seconds can save your life!
Locate this file with your desktop computer browser using the shortened URL on card.
24) Emergency Medications: Proventil inhaler 25) Special Instructions: Call my wife first, then my brother George at 555-555-1212. 26) Pharmacy: Joe’s Drug Store, 555-555-1212, 45 Main St., Any Town, Ca, 10276 27) Past Surgeries: Right and Left Hip Replacement 28) Other Important Information: NONE
SAMPLE ONLY
- END OF MEDICAL DOCUMENT -
The ERprofile password protected document can be accessed 24/7 with any web device. The ERprofile includes all your medical and contact information. The ERprofile document can be up to 4 pages of information.
MedCard wallet I.D.
ERdocsINFO.com MEDICAL CARD INFORMATION Scan with a QR Tag Reader or enter the following URL in your desktop computer browser: http://goo.gl/azWau
Scan QR Tag for Medical Info
The emergency responder, doctor or hospital simply scans the MedCard and retrieves your complete ERprofile document.
This custom URL can also be entered into a desktop or laptop’s browser to access the ERprofile!
FIRST RESPONDER
GO TO:
www.ERdocsINFO.com
