Medical Emergency Information Card

 

These can be placed in your wallet, taped to your windshield, placed in your gear bags, or put in your riding jacket or vest pockets.

 

 

Front of Card                                                  Back of Card

 

 

Medical Emergency Info Card

 

DO NOT REMOVE MY MOTORCYCLE HELMET

UNTIL I AM EXAMINED BY AN EMT OR DOCTOR

 

My name:

Address:

Home Phone:

Blood Type:

Dr. name:                                   Dr. phone:

 

Rx Meds I am taking:

Meds I am allergic to:

Medical conditions:

Other pertinent information:

Ins Co name:                              Policy #:

Emergency Contact information:
Name:
Relationship:
Phone:
Address:

 

 

 

 

 

 

 

 

 

 

 

      If you would like to download a copy of this card in MS-WORD format, please click HERE