Schizophrenia: Emergency Information to Keep Handy - dummies

Schizophrenia: Emergency Information to Keep Handy

By Jerome Levine, Irene S. Levine

Part of Schizophrenia For Dummies Cheat Sheet

Schizophrenics sometimes require emergency treatment. Everyone should have emergency contact information with them, but it’s critical if you suffer from schizophrenia or any serious illness. Fill out the information and have your loved one keep it available, like in a wallet or purse, so the right people can be contacted in case of an emergency:

Name: _________________________________________________________

Address: _______________________________________________________

Names and phone number(s) of emergency contacts (relatives or friends):

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Name and phone number of psychiatrist: ______________________________

_______________________________________________________________

Name and phone number of primary clinician or case manager: _____________

_______________________________________________________________

Name of internist or family doctor: __________________________________

_______________________________________________________________

Names and dosages of prescribed medications

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Pharmacy name and phone number: __________________________________

_______________________________________________________________

Allergies: _______________________________________________________