Grab-and-Go Health Record
This is a blank record you fill in at home and bring to the ER, a new psychiatrist, or a hospital stay. Nothing is typed into this site, and nothing is saved here.
Keep a copy
Keep a photo of the filled-in pages on your phone, and give a paper copy to a trusted family member.
What you fill in
- Name, date of birth, and insurance or Medicaid ID.
- Emergency contacts, the pharmacy, and the doctors you already see.
- Allergies, medications that caused bad side effects, and the current medication list.
- Illnesses, procedures, diagnoses, and psychiatric hospitalizations.
- Where you keep a signed release of information, and who your family calls.
Inaya Health does not provide crisis support, legal advice, or a benefits determination. This is general information for families.
Sources
Last reviewed October 13, 2026