Related topics: •  First-Aid Kit for Family Travel

This document will help you in an emergency. Print out two copies and fill in the blanks. Keep one copy with you, and give one to your spouse or traveling companion. Also, be sure to pack your child's prescription medicines (and bring them along if you have to take your child to a doctor or an emergency room) and a first-aid kit so you can cope with minor medical problems.

My child's name:

Age:

Height and weight:

Address:

Phone:

Social security number:

My child's doctor at home:

Phone:

If possible, get a referral from your pediatrician before you leave:

Phone:

Address:

Be sure to take health insurance ID cards with you, and before you depart, check your policy or call your insurance company to check on coverage when you're away from home.

Company name:

Policy number:

Phone:

Name:

Phone:

Relationship:

Name:

Phone:

Relationship:

Preexisting conditions:

Allergies to medicines:

Medications (prescription and nonprescription; note exact names and dosages):

Immunization history (attach a vaccination record to this sheet):

Previous hospitalizations, surgeries:

Comments:

Call Ask-a-Nurse, a 24-hour service that locates nurses in many states; contact information at http://www.ask-a-nurse.com.

HotelDocs, a network of physicians in 150 U.S. cities, can get a doctor to your hotel within 60 minutes. The cost is $225 to $250 per visit, depending on the time of day; call (800) 468-3537.

References

First published July 19, 1999
Last updated February 24, 2007
Copyright © 1999 Consumer Health Interactive

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