Family Disaster Plan Template Page 13
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19Medications
If medication is lost in a disaster, an emergency prescription can be obtained.
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Medication name
Dosage/frequency
Reason for taking
Rx number
Prescribing physician
Pharmacy phone
Prescription date
Disaster Procedure
Each family member should know each other’s disaster procedures for work, school or other places
where they spend time.
Notes:
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Parent category: Business