When seconds count, be ready in a heartbeat.
A loved one with dementia can wander in an instant. Panic makes it impossible to think clearly. Preparation is your greatest protection.
Get your free Caregiver Emergency Contacts Form: a pre-formatted safety plan you can hand to first responders in seconds.
You know the fear all too well.
That stomach-drop moment when you turn around and they're gone. The frantic search for medication names. The blur when a paramedic asks questions you cannot answer. You are not alone, and you do not have to face this journey unprepared.
Wandering happens fast
6 in 10 people with dementia will wander. Every minute matters when they do.
Medications get complicated
First responders need a clear, current list — not a scattered pile of pill bottles.
Panic clouds your memory
In a crisis, even the most devoted caregiver can freeze. A written plan does the remembering for you.
Everything a first responder needs — on one page.
The Caregiver Emergency Contacts Form keeps your most vital information organized and instantly accessible. Print it, stick it on the fridge, tuck a copy in your bag, and breathe a little easier.
- ✅ Vital contact numbers (family, doctor, neighbors)
- ✅ Critical medical history at a glance
- ✅ Current medication list with dosages
- ✅ Community emergency network details
- ✅ Space for allergies, wandering behaviors & calming cues
Written by a doctor who's been in your shoes.
I'm Dr. Naomi, an integrative GP, author of the bestseller Reinvigorated Caregivers, and granddaughter to two women who lived with Alzheimer's. I built this form from the questions paramedics actually ask and the details caregivers actually forget in a crisis.
"I keep it clipped to the fridge. When mum fell last month, I handed the paramedics one sheet and they had everything."
— Linda, daughter & caregiver"Simple, calming, and it made me realize how much I was carrying only in my head. A must for every dementia household."
— Marco, husband & caregiver"The wandering-behavior section alone brought us peace of mind. We shared copies with the neighbors."
— Ellen, family caregiverDownload your free emergency form now.
One page. Instant access. Peace of mind that travels with you. Enter your email below and I'll send it straight to your inbox.
No spam — just practical, science-backed support from Dr. Naomi. 💗
