When Parents Are Away: Info Every Caregiver Must Have

Accidents can happen; this is why it is important you provide your child’s caregiver the all of the information to ensure your child receives the fullest care possible. Here is what to include in your Caregiver ER Checklist.

[Note: This checklist is intended as a guide only. Additional information may be necessary to address your specific healthcare circumstances.]


Personal Info

  • Your child’s full name, date of birth, weight (of course, you’ll need this information for every child in the house)
  • Your full home address, including cross streets (in case a call needs to be made to 911 or other emergency responders)

Medical Info

  • Medical conditions (from childbirth on, including any hospital stays, such as the NICU as an infant)
  • Allergies
  • Medications taken
  • Insurance cards

Physician info

  • Pediatrician’s name, address, phone numbers and office hours
  • Dentist’s name, address, phone numbers and office hours
  • Nearest ER where you’d want your child to be taken (I like to leave directions to the ER, too)

Contact: 3-point plan

  1. All phone numbers to reach you, including the name and number of your hotel and anyone else at your location who could get in contact with you
  2. Phone numbers of your closest relatives
  3. Phone numbers of your nearest reliable neighbor (who agrees to help) and their address. I also like to leave a second in-town person as backup.
  4. Poison Control Center number: 1-800-222-1222

Permission to Treat Form

This form gives a doctor permission to provide medical treatment when your child is in someone else’s care, whether it’s a babysitter or a relative such as a grandparent. If a child is legally considered a minor, the ER must regard the child as such. Requirements for such authorizations may vary by state and/or facilities, so be sure to check what is required in yours.


By: Dr. Meredith Levine, Family Medicine, Obstetric & Gynecologist at Midwest Women’s Healthcare Specialists