Caregiver Master Information Form — Printable Quick-Reference for Caregivers & Parents

Everything you need to know about the person you care for — in one place.

When something happens — an ER visit, a new sitter, a handoff to another family member — you don't have time to scramble. This printable form pulls together every piece of critical information into one compact, easy-to-reference document.

Whether you're an adult caregiver managing a parent's health or a parent keeping track of a child's medical needs, this form gives you the clarity and confidence to handle whatever comes next.

What's covered:

• Emergency Contacts — Primary and secondary contacts with phone, email, and relationship
• Medical Snapshot — Primary care provider, preferred hospital, pharmacy, diagnoses, allergies, mobility concerns, cognitive/memory notes, and more
• Insurance & Identification — Primary and secondary insurance, Medicare number, member/policy IDs, and other plan numbers
• Critical Legal / Care Information — Health care decision-maker/POA, advance directive status, DNR/POLST/MOLST, and location of legal documents
• Medications List — Current medications, dosages, and schedules
• Daily Care Notes — Routines, preferences, and special instructions for anyone stepping in

Use it to:

• Keep critical information instantly accessible in an emergency
• Brief a substitute caregiver, family member, or home health aide quickly
• Prepare for hospitalizations, care transitions, or new providers
• Replace the mental load of keeping it all in your head

Not a single worksheet — a compact caregiving system you can actually use.