Coast Life Support District

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Home Emergency Medical Information Form

Emergency Medical Information

Having emergency medical information and treatment choices easily available to family and emergency personnel can save time during a crisis, and make it more likely that your preferences are known.  CLSD recommends that an Emergency Medical Form be filled out and placed on your refrigerator.  Forms are available from RCMS and the Point Arena Pharmacy, or can be downloaded here.  The form can be filled out on your computer and then saved and printed, or can be printed out and then the information written in by hand.  Talk to your physician about the various other forms you can use to specify your individual treatment preferences.