Letter to Help Our Patients During Subsequent Emergency Room Visits

At our recent Family Meeting in Philadelphia, family members requested a form or something of the sort, that could be kept in the wallet, mainly by a young adult who previously had been diagnosed with Myocarditis.

This form would be used when at a different health care facility away from home, to show the Emergency Room Triage Nurse / Physician that they indeed had a history of cardiac problems and to not be taken lightly because of their age.

It was too difficult to make it wallet size, so if you print it off your computer you can complete it and fold it up to keep it in your wallet for use when needed.

Please click here to see the form