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Many of us live a distance from our closest relatives and when an illness or accident strikes, we are completely unprepared to help out. This TO DO list will help you gather the necessary information to have on hand in case something happens to your loved ones. Even for relatives that live nearby, it is important to have a ready list of their doctors and medicines.



Elderly Relative Aid List

Name Phone number
Primary physician

Other physicians

Nearest hospital




Neighbor (1)

Neighbor (2)




Friend (1)

Friend (2)




Taxi cab company




Life Line Connection
www.lifelinesys.com
Living will (location)

Church/Temple affiliation

Pastor/Priest/Rabbi




Bank

Lawyer

Will (location)
- Executor





Vet (if own a pet)




Automobile info

Mechanic

Insurance company




Medications Dosage Strength

1.


2.


3.


4.


5.


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