Personal Health Summary

This personal health summary provides the necessary information about your medications and health that can be useful in case of any emergencies and/or evacuations. Please fill out the information, print it and keep copies in your wallet or go bag. (A go-bag has personal items you need to take with you if you have to evacuate).

You can save Personal Health Summary to your computer, mobile device, or cloud application.

Please note: The New York City Department of Health and Mental Hygiene does not have access to or store any of the information entered in this tool.

Fill Out Personal Health Summary