Below are forms from the Emergency Preparedness booklet that can be individually printed and filled out:

• Kidney Patient Medication List Form: Keeping a record of all your medication, including the frequency and dose, will be helpful in an emergency. Take note of which medications are essential. 
  
• Chinese  (中文)
  
• Punjabi (ਪੰਜਾਬੀ)
  
• Kidney Patient Emergency Information Form: Record the contact information of a friend or family member who can be contacted in case you become injured or sick. Also include someone from another province, in case the emergency affects your contacts who live close by. 
  
• Chinese  (中文)
  
• Punjabi (ਪੰਜਾਬੀ)
  
• Kidney Patient Medical Condition and History Form: Record your medical history in case your need care from an emergency responder or doctor who is not familiar with your health status.
  
• Chinese  (中文)
  
• Punjabi (ਪੰਜਾਬੀ)
  
• Kidney Patient Hemodialysis Information Form: Write down the details of your regular dialysis treatment. This information will be helpful if you need to receive dialysis at a different location.
  
• Chinese  (中文)
  
• Punjabi (ਪੰਜਾਬੀ)
  

• Emergency disconnect procedures for home dialysis patients. Print a copy of the emergency disconnect procedures for your machine:
• Catheter:
• English: AK98, AK96 or NxStage 
• Chinese (中文):  AK98, AK 96 or NxStage 
• Punjabi (ਪੰਜਾਬੀ): AK98, AK 96 or NxStage
  
• Graft of Fistula: 
  
• English: AK98, AK96 or NxStage
  
• Chinese (中文): AK98, AK 96 or NxStage
  
• Punjabi (ਪੰਜਾਬੀ): AK98, AK 96 or NxStage 
  

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