Emergency Patient Info Form
In a serious emergency, every second counts. When EMTs come to your aid, they will ask you to quickly produce a variety of information to help guide the emergency care of your loved one. This form will help you compile medications, medical history, insurance information, and other vital information to save precious time.
3 Steps to Protect Your Family:
Download and Print the form
Complete the form
Hang the form on your refrigerator
Hatzalah_Medical_Packet.docx.pdfArea Hospitals
Cooperman Barnabas Medical Center
Food
Kosher meals available for patients
Kosher options at cafeteria for guests
In-room refrigerators upon request
Bikur Cholim room (Floor 2, outside of elevators #8/#9)
Shabbat
Shabbat Elevators (#8 and/or #9)
Key Contact
Patient Relations (973) 322-5164
Food
Kosher meals available for patients and guests (973-971-6325)
Bikur Cholim room (Level B near Malcom Forbes auditorium)
Shabbat
Shabbat Elevators
Shabbat Room - ask Jewish chaplain for availability
Key Contact
Jewish chaplain (973-971-5306)
Food
Kosher meals available for patients and guests (908-522-2272)
Bikur Cholim room (4th floor next to cafeteria)
Shabbat
Shabbat Box for all patients
Shabbat Elevator
Key Contact
Jewish chaplain (908-522-2108)
St. Joseph's University Medical Center
Food
Kosher meals available for patients and guests (973-754-3663)
Kosher Pantry (ER)
Shabbat
Shabbat Box for all patients
Shabbat Suite (973-754-3015)
Shabbat Elevator (Regan Building, Main Floor, 3rd elevator near #14)
Interior medical center and lobby are within a dedicated Eruv
Key Contacts
Department of Pastoral Care (973-754-3015)
Rabbi Dr. Steven M. Kapnick (203-512-2915)
Shabbat / Yom Tov Safety Tips
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Seasonal Safety Tips
