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The Pink Card program is meant to provide quick and easy access to your basic medical information. It is a PINK card that can be easily kept on the refrigerator for speedy access in the event of an emergency. The card contains important personal information regarding your health and emergency contacts in the event that you are unable to give the information.

 

How do I get a Pink Card?

 

The Pink Card Program with Cumberland Rescue Service is available to the residents of Town of Cumberland. To request a Pink Card please contact Cumberland Rescue Service or ask for a card at your local in town pharmacy

 

How do I fill out a Pink Card?

 

Basic Information:

 

Most of the information on the “Pink Card” is relatively easy to fill out as it is personal information. Who you put for Emergency Contacts is a decision that is personal and should be based on people who are close to you and would be relatively easy to contact in the event of an emergency. This can include relatives, friends, coworkers, or any other person that may be able to give support in a time of emergency.

 

Medical Information:

 

Medication should include all current medicines you are taking prescribed by your doctor. If you are unaware of your Blood Type or where your files are, contact your health care provider or doctor.

 

Comfort One / DNR (Do Not Resuscitate) Form:

 

By filling out and signing this form with your physician, you are able to deny certain life-saving care from EMTs in the event of an emergency. Patients who have already spoken with their health care providers who have deemed them appropriate for Do Not Resuscitate (DNR) status should fill out this form and keep it in an easily accessible place. The Comfort One/Do Not Resuscitate form is the ONLY means for Emergency Medical Technicians and paramedics to verify the status of a patient as a DNR.

 

Good locations for these forms could be on your bedroom door, on the refrigerator near your "Pink Card", or next to your bed. If an EMT cannot find the form, they cannot follow Do Not Resuscitate protocols.

 

Medical Conditions/Allergies:

 

All known medical conditions/allergies should be checked off, including those that aren’t included on the list (there is a box marked “other” where additional unlisted conditions may be added). If these are unknown, contact your physician or health care provider.

 

Medical Insurance:

 

The company as well as your policy number should be included on the card. Both of these can be found on your insurance card or by calling your physician. If you are a part of Medicaid or Medicare, these numbers need to be included as well. 

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