• Chest pain or pressure
• Trouble breathing
• Sudden weakness on one side
• Slurred speech
• Severe headache
• Unconscious or very confused
• Severe bleeding that won't stop
• Blood sugar below 70 (shaking, sweating, confusion)
Name: [Write doctor's name here]
Phone: [Write phone number here]
Office Hours: Monday-Friday 8am-5pm
Name: [Write hospital name here]
Address: [Write address here]
Emergency Room: [Write ER phone here]
Name: [Write pharmacy name here]
Phone: [Write phone number here]
Hours: [Write hours here]
Name: [Write name here]
Phone: [Write phone number here]
Relationship: [Son/Daughter/Other]
Name: [Write name here]
Phone: [Write phone number here]
Relationship: [Son/Daughter/Other]
If blood sugar is low (<70):
1. Drink 4 oz juice or regular soda
2. Wait 15 minutes
3. Test again
4. If still low, repeat
5. If below 54 or very confused → Call 911
Patient Name: Edith Botsio
Date of Birth: [Write DOB here]
Allergies: [Write any drug allergies here, or "None known"]
Medical Conditions:
• No thyroid (Hashimoto's, thyroidectomy)
• Type 2 Diabetes (on Ozempic)
• High blood pressure
• High cholesterol
• Chronic constipation
• Joint pain
Important Notes:
• Takes 22 medications daily
• Thyroid medication MUST be taken on empty stomach
• Ozempic injection every Sunday
• Severe constipation - needs daily Miralax + fiber
• Blood sugar checks required
Print this page and keep it:
• On the refrigerator
• In your purse/wallet
• Next to the phone
• In the car
Give a copy to family members!