Emergency Numbers and Names

Parent's Name Names of Parents: _______________________________________________
Children's names/ages: _____________________________________________________________
Emergency Number (Police/Fire) 911 __________________________________________________________
Doctor: David M. Millsaps, MD FAAP, Unifour Pediatrics
Phone Number 828-328-1118, days and nights (if needed)
or for major emergency call 911.
Neighbor #1 Name: _______________________________, Phone:___________________
Neighbor #2 Name: _______________________________, Phone:___________________
Neighbor #3 Name: _______________________________, Phone:___________________
Nearest Relative Name: _______________________________, Phone:___________________
Father's Work Name: _______________________________, Phone:___________________
Mother's Work Name: _______________________________, Phone:___________________
Electric Company Name: _______________________________, Phone:___________________
Gas Company Name: _______________________________, Phone:___________________
If a crisis occurs, try to get in touch with Mother or Father first, but not if delaying matters in an emergency.
Dad's Cellular: __________________, Mom's Cellular: ___________________

Will be at: _______________________________, Phone:_________________

Time expected home:______________________________________________
Locks: ______________________________________________________________
Lights: ______________________________________________________________
Fire extinguisher (location): ______________________________________________________________
What to do if there
is a power failure:
______________________________________________________________
What to do if the
smoke detector goes off:
______________________________________________________________

Water crisis (location of main water valve):

______________________________________________________________

Other:

______________________________________________________________

Written by E. Christophersen, Ph.D., author of "Baby Owner's Manual: What to Expect and How to Survive
Heavily modified and adapted for this use.