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Emergency Room Quick Information Kit – $24.95 (plus shipping)








Your ER-Quik kit is comprised of a booklet for your medical history, a magnet, and a pen – all in a  heavy zippered bag.

Booklet. Easy to read booklet with medical history information forms to complete and maintain. These forms were developed by a practicing Emergency Room Physician based on vital information needed in a real medical emergency.  Explanations of why the information is needed as well as simple instructions for completing the forms are included.

The content of two commonly used hospital documents, and when and why you need copies of them in your ER-Quik bag is revealed by a Registered Health Information Administrator.

A Release of Medical Information form written by a practicing healthlaw attorney is included in your kit as well as an explanation of  Advance Directives, POLST, and Power of Attorney for Health Care.

Magnet. A magnet to place on your refrigerator to alert paramedics that you have medical information in your ER-Quik bag is included.

Tote Bag. Convenience Plus!  You will love this sturdy canvas red zippered bag with two distinct sections.  One section is for your medical information booklet and copies of previous medical records, the other section can be used to hold your actual prescription bottles or pharmacy medication records, and personal items.  The bag is easy to hang on a doorknob at home.  Take the bag with you in your car or place it in your suitcase when you travel.

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Or Contact us by Email at: orders@ER-QUIK.com You can also download this form and mail it (with a check) to:

ER-Quik
PO Box 1319
Oregon City, OR 97045