Everyone

Emergency Medical Form

Ice Cream Sandwich

When lives are on the line, every second counts. The Emergency Medical Form (EMF) makes it easier for first responders to get the vital information they need from you in a medical emergency. It does this by requesting your responses to the most commonly asked emergency medical questions in advance and storing this information safely with our app. Designed for both public and first responder use, EMF is a must-have emergency tool for individuals, families, senior citizens and first responders.

For Individuals and Community Use : 

Easy To Use

Our clear-cut, user-friendly app makes it easy for individuals to sign up and answer the important questions typically asked by first responders in emergency situations. EMF also allows you to upload attachments in one simple click; add your latest EKG’s, healthcare records, paper forms and more. 

Streamlines Important Medical Information 

Keep your information safely in one place while still providing easy access in case of medical emergencies. EMF allows you the ability to store your medical information, making it available to first responders in your area, so you’re always one step ahead. 

Add Your Family

Organize your family’s medical information with the ability to upload unlimited forms to your profile. Highly recommended for senior citizens and assisted living facilities and communities. 

Safety & Privacy 

EMF uses safety and security measures which keeps your medical information protected.

Printable Forms 

Print your form for access even without a mobile phone, internet access and for emergency responders who don’t have the app. 

For Agencies and First Responders: 

Custom built 

This version of EMF is only available to first responders and emergency agencies such as fire departments and ambulance services and allows you to modify based on their department needs. Agencies or first responders must first register and upon verification, will have access to our extensive database of patient information. EMF is used to minimize the time spent on scene, improve the quality of care provided and in patient care reporting. 

Easily Search & Access Patients EMF 

EMF reduces the time first responders spend asking life-saving questions. They can access their patient’s EMF either before or while on the scene. 

Seamless Forward Functions 

Once first responders have access to EMF, they can forward medical forms with their patient information across the emergency response network. This allows first responders to be steps ahead and prepared with their patients information. 

NOTE: Health care providers, first responders or agencies need to use the first responder version of this app. Each first responder or healthcare provider must submit the required credentials or an agency can register with EMF before they can download and use the app.

Please share the EMF app with your friends and family to spread the benefits of emergency preparedness with the ones you love. 

Our app is constantly updated to provide you with the highest level of safety, privacy, and preparedness. If you experience a bug or problem when using our app, please contact us so we can quickly resolve the issue. We’d be very grateful if you can leave a rating and review to support our continued development.


Emergency Medical Form

Versi Terkini Emergency Medical Form