
Life Sheet™
Emergency
Medical Information Form
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Life Sheet™ is designed to provide key medical information to
Emergency Medical Personnel in the event that you are not able to
communicate. This easy-to-use tool is
provided to you by Liberty In Home
Care, where your independence is our business!
Using Life Sheet™ is simple!
Just follow these three steps:

1) Attach the Life Sheet™
Sticker to your front door. This will
alert medical personnel to look for Life
Sheet™ in the event of an emergency.


2) Fill out the yellow Life
Sheet™ form with your key medical information. Please use a pencil so that you can make
changes as required.
3) Use the enclosed magnet to attach Life Sheet™ to your
refrigerator.
At Liberty In
Home Care we specialize in helping individuals remain independent. We can be there from a few hours a day to
around the clock! If you ever need
non-medical in-home care, please think of Liberty In Home
Care! We also provide care in
assisted living facilities to compliment their services.
Our website, www.LibertyCares.com,
contains links to senior services and
other useful information. You can call
us anytime at 610-254-9440 for a no
obligation consultation.
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