36 GET ME ORIENTED /// CHAPTER 22 Here's a handy card you can print and fill in: I Have Cancer Personal Information NAME: ________________________________________________________________________ PHONE: _________________________________ ADDRESS: _______________________________________________________________________________________________________________ Vitals AGE: ________________ SEX: _______________ BLOOD TYPE: __________________HEIGHT: _______________ WEIGHT: _____________ Emergency Contact NAME: ________________________________________________________________________ PHONE: _________________________________ Doctor Contacts ONCOLOGIST: ________________________________________________________________ PHONE: _________________________________ FAMILY DOCTOR: ______________________________________________________________ PHONE: _________________________________ HOSPITAL: ____________________________________________________________________ PHONE: _________________________________ PHARMACIST/PHARMACIST: __________________________________________________ PHONE: _________________________________ Current Medications Name, Dosage, and Frequency (include over-the-counter medications) Allergies Other Medical Conditions Current Treatments Noteshttps://fwaya.org/