Senior Emergency Kit Worksheets and Checklists

The Senior Emergency KitSM features several worksheets that family caregivers can complete with the help of a senior loved one. This toolkit can be kept in an easy-to-reach location, such as a nightstand, to allow easy access to information. Checklist of Things to Have in Your File

Keep these documents about your senior loved one in your information management tool file:

• Contact Names and Numbers 
• Medication Tracker Allergies and Conditions Worksheet 
• Doctor Visit Worksheet 
• Health Care Proxy DNR (Do Not Resuscitate) 
• Order Advance Directives such as Living Will and Durable Power of Attorney 
• Insurance Policies Will and Testament  
• Copy of Medicare/Medicaid Card 
• Anatomical Gift/Organ Donation Card 
• Valuables Designation List 

Download the whole toolkit here!



 The toolkit is part of the Home Instead Senior Care® network's Answering the Call® program designed to help family caregivers be ready for a call when a senior loved one needs emergency assistance.