The Danvers Police Department has created the Medical History Information Card so that residents can easily provide a comprehensive medical history, current medications and emergency contact information to first responders during an emergency.
We encourage you to fill out this form, print it and display it somewhere in plain view – such as hanging on your fridge. Printing multiple copies will allow first responders to take one with them and pass it on to hospital personnel.
We also encourage family members and caretakers of elderly persons to assist with completing this form and routinely reviewing it so that the information remains current.
Note: You can download this form to your computer, but if you want to save the text that you write above, click “print” and then select “Save as PDF” to save your text. Clicking “download” will save a blank copy to your computer.