TAYLOR, SARAH MARIE

Emergency Medical Profile

Sarah Marie Taylor

Printed on product as “SARAH”

DOB:6/8/1993

Photo of Patient Photo of Patient
Primary Medical Condition DIABETES MELLITUS
Life-Saving Alerts — Critical TYPE 1 DIABETIC CHECK FOR INSULIN PUMP OR GLUCOSE KIT
Medical Devices & Implants INSULIN PUMP

Emergency Contacts

Primary Emergency Contact

JAMES TAYLOR

HUSBAND

(574) 297-6703Tap to call
Backup Emergency Contact

JOSEPHINE JONES

MOTHER

(555) 224-2244Tap to call
Additional Emergency Contact

DR KAREN MILLS

FAMILY FRIEND

5317-555-0210Tap to call

Patient Demographics

Home Address 4821 MALE GROVE LANE
CARMEL, IN 46032

Medications & Dosage

  • INSULIN LISPRO (HUMALOG)

    10 UNITS — WITH MEALS

  • INSULIN GLARGINE (LANTUS)

    20 UNITS — AT BEDTIME

Blood Type O+

Clinical & Insurance Details

Primary Care Physician DR PATRICIA NGUYEN, IU HEALTH
(317) 555-0388Tap to call
Insurance Provider & Policy # (optional) SEE CARD PHOTO
Insurance Card — Front Insurance Card — Front
Insurance Card — Back Insurance Card — Back

Legal Authorization

I authorize emergency medical personnel and first responders to access the information on this profile for the purpose of providing emergency medical care to the individual named above. This information is accurate to the best of my knowledge as of the date listed below.

Form Completed By SARAH TAYLOR, SELF
Date Completed 7/4/2026

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