THE CAREGIVER FILES Back to main site

The Emergency First Response Sheet

When paramedics walk into your parent's home, they are meeting a stranger. This is the one page that speaks for your parent when your parent can't. Fill it out below, print it, and put it on the refrigerator. Not in a folder. Not in a drawer. On the refrigerator.

Free. No account. No signup. Nothing you type here leaves this device. Your answers save in your own browser so you can come back and update the sheet when medications change.

One Question First

This changes what goes on the sheet, because first responders approach a dementia situation differently.

The Basics

Who your parent is, where they are, and how to address them.

Medical Conditions and Allergies

List the conditions a paramedic needs to know about. Plain words beat medical jargon.

Medications

Every current medication, the dose, and when they take it. This list is half the reason this sheet exists.

DNR and Directives

Paramedics need this answer in seconds, not after a search through a filing cabinet. If this is not documented yet, the sheet will say so honestly, and that is your reminder to make the conversation happen.

For First Responders: Dementia Notes

This section changes how responders approach your parent. It takes five extra minutes and it can change how the whole emergency goes.

Who to Call

The people who pick up the phone at 2am.

Insurance

The hospital will ask. Have the answer ready before they do.

Your answers save automatically in this browser, and only in this browser. Nothing is sent anywhere.

Here it is. Print it, then put it on the refrigerator today.

This sheet is one page of a bigger system.

The Caregiver Files is the full setup: medication logs, appointment prep, daily care tracking, and the conversation scripts for getting a resistant parent to cooperate. Matched to your exact situation, not a one-size-fits-all file.

Take the free quiz. Find your version. While the printer is running: check what emergency supplies are actually in the house.