EMERGENCY MEDICAL IDENTIFICATION Courtesy of MedIDs.com
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John D Doe DOB: 05/29/1949
115 Main St.
Any City, Louisiana 71000
318- 555-0000 Blood Type: O-
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Emergency
Contacts:
Mary Smith-Wife 318-555-1212
318-355-0011 Cell
Jane Biggs-Daughter 318-555-3333
318-555-0081 Cell |
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Physicians:
Frank Smith, M.D. 318-555-5555
Jane Kelly, M.D. 318-555-6666 |
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Medical Conditions: - Type 1 Diabetic High Blood Pressure Back Pain DVT Right Leg Kidney Stones Medtronic Pacemaker Wear Contact Lens
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Medications:
Altace 5 - MG 1xDay Coumadin 5MG- 1xDay Amaryl 1 Tab Loritab 25 MG 1-3xday Lopressor 50MG-1Xday Altace 2.5MG- 1xday
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Allergies:
- Sulfa Drugs - Keflex - Shellfish (Other Info) Living Will on file - Organ Donor |
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| -Card Printed:
Courtesy of MedIDs.com
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