Family Health Information Sheet

Lists for First Aid Kits, Over-The-Counter (OTC)Medicines to keep on hand,Masks & Protective Gear info,How-To Information for home care of family members and lots more.
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Readymom
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Family Health Information Sheet

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Family Emergency Health Information Sheet -PDF (Pages 16-18)

NOTE: since this document was first issued, in 2006, the original link posted is no longer working for the Health & Human Services site. With a little bit of searching I found a working link through iacp.org for the same document.

(Scroll down to page 3 for the chart)

A Guide for Individuals and Families Pandemic Influenza Planning
https://www.theiacp.org/sites/default/files/all/u-z/You%20can%20prepare%20for%20an%20influenza%20pandemic%20now.pdf

It is important to think about health issues that could arise if an influenza pandemic occurs, and how they could affect you and your loved ones. For example, if a mass vaccination clinic is set up in your community, you may need to provide as much information as you can about your medical history when you go, especially if you have a serious health condition or allergy.

Create a family emergency health plan using this information. Fill in information for each family member in the space provided. Like much of the planning for a pandemic, this can also help prepare for other emergencies.
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