Heart Attack Survival Plan

Medicine

Food

Water

Music

Naturopath Finder

Page Updated: Jan-17-2011

Information Therapy
Health Feed

Heart Health

Heart Disease Prevention

Heart Attack Prevention: CoQ-10

Heart Healthy Nutrients

Managing Your Cholesterol Naturally

Lowering High Blood Pressure

Fish Oil for Heart Health

Garlic for Heart Health

Improving Heart Heath with HRV Practice

Heart Attack Survival Plan

Fill in the information below. Keep this form in a handy place. You may want to photocopy it and keep a copy at home, work, and in your wallet or purse. Share the information with emergency medical personnel and hospital staff.

Your name:

Medicines you are taking:

1.
2.
3.
4.
5.

6.
7.
8.
9.
10.

Medicines you are allergic to:

1.
2.
3.
4.
5.

6.
7.
8.
9.
10.

If symptoms stop completely in less than 5 minutes, you should still call your health care provider.

Phone number during office hours:

Phone number after office hours:

Person to contact if you go to the hospital.

Name:

Home phone number:

Work phone number:

[Back To Heart Attack Symptoms]

Health Care Art Gallery - Editorial Policy - Privacy - Funding - Terms of Use - Contact