Important Contact Information
- Oncologist: ___________________ Phone: ___________________
- Cancer Center: _________________ Phone: ___________________
- Emergency Contact: _____________ Phone: ___________________
When to Seek Immediate Medical Attention
Call 911 or Go to Emergency Room If:
- Fever of 100.4°F (38°C) or higher
- Severe chest pain or difficulty breathing
- Severe bleeding or bruising
- Confusion or loss of consciousness
- Seizures
Contact Your Oncologist If:
- Nausea/vomiting that prevents medication intake
- Diarrhea (more than 4-6 times per day)
- New or worsening pain
- Redness/swelling around central line
- Unusual fatigue or weakness
Emergency Kit Contents
- Current medication list
- Recent lab results
- Treatment summary
- Insurance cards
- Advanced directives (if applicable)
Important Instructions
- Keep this plan visible (e.g., on refrigerator)
- Update contact information as needed
- Bring this document to all medical visits
- Share plan with family members/caregivers
Notes for Emergency Personnel
- Patient has lymphoma
- Current treatment: _________________
- Blood type: _______________________
- Allergies: ________________________
_Last Updated: ___________________
Patient Signature: _______________
Physician Signature: _____________