Personalized Emergency Wallet Card

Create a personal or child-care card with emergency contacts and nearby resources for your area.

Card Type

Cardholder

Full Name Preferred Name Blood Type Home Address ZIP Code Preferred Hospital

Emergency Contacts

Primary Contact Primary Phone Secondary Contact Secondary Phone

Health and Care Information

Allergies Medical Conditions Medications Physician or Pediatrician Physician Phone

Nearby Emergency Resources

Add the nearest hospitals, police, fire, pharmacy, and urgent care facilities for your area.

Hospital Hospital Phone Hospital Address Urgent Care Urgent Care Phone Urgent Care Address Police Department Police Non-Emergency Phone Police Address Fire Station Fire Station Phone Fire Station Address Pharmacy Pharmacy Phone Pharmacy Address

This version processes card details in the visitor's browser and does not save them to a SafeMind Living database. Do not add Social Security numbers, account passwords or unnecessary private information.

Wallet Card Preview

SafeMind Living™

Personal Emergency Card

Your Name

Home address and ZIP code

Emergency Contact

Not provided

Second Contact

Not provided

Allergies

None listed

Conditions

None listed

Medications

None listed

Local Emergency Resources

ZIP CODE

Hospital

Not selected

Urgent Care

Not selected

Police

Not selected

Fire

Not selected

Pharmacy

Not selected

Physician

Not listed

Print at 100% scale or "Actual Size." Each card is 3.375 × 2.125 inches.