Important Contact Information
- Oncologist: [Name] _____________________
- Phone: _____________________
- Primary Care Physician: [Name] _____________________
- Phone: _____________________
- Emergency Department: _____________________
- Pharmacy: _____________________
When to Seek Immediate Medical Attention
Call 911 or Go to Emergency Department If:
- Chest pain or difficulty breathing
- Severe bleeding that won't stop
- High fever (above 101.5°F/38.6°C)
- Severe pain uncontrolled by medication
- Sudden confusion or loss of consciousness
Contact Your Oncologist If:
- Temperature between 100.4-101.5°F (38-38.6°C)
- New or worsening pain
- Blood in urine
- Difficulty urinating
- Unusual swelling in legs or arms
- Persistent nausea/vomiting
Current Medications
-
Cancer Treatments:
- Name: _____________________ Dose: _____________________
- Name: _____________________ Dose: _____________________
-
Pain Medications:
- Name: _____________________ Dose: _____________________
- Name: _____________________ Dose: _____________________
Important Medical Information
- Blood Type: _____________________
- Allergies: _____________________
- Other Medical Conditions: _____________________
Emergency Kit Contents
- Thermometer
- Extra medication doses
- Insurance cards
- Medical history summary
- This emergency plan
- List of current medications
Notes for Caregivers
- Location of important documents
- Preferred hospital
- Advanced directives location
- Insurance information
Keep this plan in an easily accessible location and review it with family members or caregivers.