If something happened to your parent tonight, would you know what to do?
Primary care physician. Insurance group number. Who has legal authority to make decisions if they can't speak for themselves. Most families have this scattered across post-it notes and half-remembered facts, until someone needs it and it isn't there.
What's inside
Fillable PDF, delivered instantly
Type directly into the fields on your phone or computer. No printing required to fill it out.
ER info first, everything else after
Part 1 is the ER-ready snapshot for the first 30 minutes. Part 2 is the full family directory for everything that follows.
Built for whoever picks it up
Organized so someone who's never met your family can find what they need in the first five minutes.
Share it so everyone has access
Save it to Google Drive, Dropbox, or iCloud and share it with your family, so whoever gets the call can pull it up on their phone, not just the person who filled it in.
What it covers
Split into two parts, the emergency snapshot for the first 30 minutes, and the full family directory for the days that follow.
Name, date of birth, primary care physician, insurance, current medications, allergies, and known conditions. What a doctor needs to know in the first five minutes.
Who has legal authority to make medical decisions if this person can't speak for themselves, and where the signed proxy or POA documents are located.
Who to call and in what order, because whoever picks up first is making decisions, plus phone PIN and legacy/trusted contact info for locked devices.
The full directory: primary care, specialists, dentist, eye doctor, mental health provider, and pharmacy.
Will, trust, advance directive, POA, life insurance, property deeds, and safe or safe-deposit box locations. Not the documents themselves, just where to find them.
Clergy or community contact, who has a copy of this document, and who cares for pets or dependents if this person is hospitalized.
Built for the person picking it up, a spouse, a sibling, a neighbor, a paramedic who's never met your family, not just the person who filled it in.
A look inside
Who it's for
This template is for you if:
- ✓You want this ready before an emergency happens, not scrambled together during one
- ✓You'd be the one who gets the call, a spouse, an adult child, a sibling, and want to know where to look
- ✓You've stood in an ER before without the answers they were asking for
- ✓You want something a neighbor, a first responder, or a house sitter could use, not just family
- ✓You keep meaning to write this down and it never quite happens
Common questions
How do I get access after I buy it?
You'll receive an email right after checkout with your fillable PDF attached or linked. No account to create. Download it and start filling it in right away.
Can I fill it out on my phone?
Yes. It's a standard fillable PDF. Type into the fields on your phone, tablet, or computer, then save or print a copy.
Can my family get to it too?
Yes. Save the filled-in PDF to a shared folder in Google Drive, Dropbox, or iCloud, or email a copy to the people who'd need it. That way a spouse, sibling, or adult child can open it from their own phone in an emergency.
Is this a legal document?
No. It's an organizational tool for the information your family would need. It doesn't replace advice from an attorney, especially around power of attorney or healthcare proxy documents. For those, consult a qualified professional. I'm not a lawyer or financial advisor.
My mom's emergency plan was post-it notes taped inside a kitchen cabinet, accurate for her, useless for anyone else. I built this template for the person who actually has to use it. Mike Ward, Founder of Leo
Ready? It's a five-minute favor to the people who'd need this.
$9. No shipping, no waiting.
Buy Now, $9