WE ARE HERE TO HELP

Medical informational Cards/envelopes help communicate information in an emergency regarding your medical history, allergies, medications, emergency contacts, and doctor(s).

We're happy to assist you with filling out your card and envelope. Just complete the form below!​
​MEDICAL ALERT wallet sized PICTURE CARD  &
Medical Alert envelope with picture for your vehicle

​No cost.
Fill out the form below with your information. 

United States -We will be glad to fill out & mail your card & envelope 

Outside of the United States. Please download the card and print it.

    ET Medical Alert Card & ENVELOPE Form

    ​​Give a few weeks to receive your Medical Alert Card in the mail
    The Diann Shaddox Foundation does not retain or use your medical information in any way.
    Add your information Below
    Max file size: 20MB

​You may also print your wallet-size card. Simply download, print, & fill out the card, cut the card, laminate, & fold in half.

If you would like to print your own Medical Alert card or Envelope download here
medical_alert_without_picture_packet.pdf
File Size: 45 kb
File Type: pdf
Download File
medical_alert_envelope.pdf
File Size: 359 kb
File Type: pdf
Download File
Diann Shaddox Foundation for Essential Tremor