ICE4me.org
A place for "In Case of Emergency" (ICE4me.org)
                     important Information

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Click on the above QR code to see how this information will provide emergency medical personnel with the patient's medical conditions, medication, people that should be contacted, etc. that will help the personnel treat you in an emergency.   By knowing your Doctor's information, what kind of medication you are taking and your emergency contacts,i.e. spouse, children, etc. when you aren't able to answer!


Fill out the below with as much information as you can. Get your medication containers,etc. bottles, for name, amount and when you take them. Also any health conditions, physicians,etc. information per the form. See sample card that you would carry in billfold. click here.


Please provide the following information to create your unique web page and unique ICE4me card. NOTE: the drop down box beside each field "Share this information" allows you to choose what is to be displayed.

        Your Name:                                              
        Phone Number:        (xxx-xxx-xxxx)      
       Your E-mail Address:                     
       Current Address:                           
       City:             State:    Zip Code:       



Note the below is made up information...Date of birth: 3/22/1903
Type 2 Diabetes, blood pressure, cholesterol, Anemia
Medications as of 11/24/2021
Apixaban (Eliquis) blood thinner 5 MG AM/PM
Flomax/Tamsulosin urination 0.4 MG PM
Health Events: Blood Type: O-
TIA-07/04/15.
Hospitalized in Some town, FL from 1/18/1919 to 02/22/1919
Jugular Vena Cava Filter implant #GFAANNNN 02/25/1919
Flu shot -Walmart 09/17/20 -
Covid - 04/10/21 2nd shot 05/01/21
Primary Care Physician-          John Doe MD    972-555-5555
Nephrologist -           Joe Doe MD    972-555-5556
Cardiologist -           Joe Dough MD    972-555-5557
Pharmacy - Walmart 972-555-5558
Contacts in case of emergency:
John Deer --- son 972-555-5559
Jayne Doe --- personal friend 813-555-5555


To enter your information
click here.

ICE4me.org