For teams of any size and of any type, it’s a great idea to keep health information available that might be critical to EMT or other first responders. We have provided a downloadable health form, as well as a Privacy Protocol for keeping the information confidential.
- Have an Envelope and a Health History form for each of your team members.
- On each envelope, either print or print on stickers to place on the envelopes, the envelope statement below.
- Each member of your team should fill out a Health History form and place that form inside of an envelope that may be sealed.
- Those envelopes should be kept in the charge of your team’s Safety Lead or Team Leader in case of emergency.
Envelope Statement:
To be printed on the outside of the sealed envelope, or may be printed onto a sticker to be placed onto the envelope. A PDF file is provided below.

Health History Form:
This form is clickable and will open in PDF format.
