Important Contact Information
- Oncologist: [Name] _____________________
- Phone: _____________________
- Primary Care Physician: _____________________
- Phone: _____________________
- Emergency Contact: _____________________
- Phone: _____________________
When to Seek Immediate Medical Attention
Call 911 or Go to Emergency Room If:
- Chest pain or difficulty breathing
- Fever above 101.5°F (38.6°C)
- Severe bleeding or bruising
- Sudden severe headache with confusion
- Severe pain unrelieved by prescribed medication
Contact Your Oncologist If:
- Temperature between 100.4-101.5°F (38-38.6°C)
- New or worsening pain
- Redness/swelling around surgical sites
- Unusual fatigue or weakness
- Nausea/vomiting uncontrolled by medications
Treatment Information
Current Medications
- Medication: _____________________ Dose: _____________________
- Medication: _____________________ Dose: _____________________
- Medication: _____________________ Dose: _____________________
Treatment Schedule
- Chemotherapy Days: _____________________
- Radiation Schedule: _____________________
- Next Appointment: _____________________
Emergency Kit Contents
- Thermometer
- Anti-nausea medications
- Pain medications
- Insurance cards
- Medical history summary
- List of current medications
- This emergency plan
Additional Instructions
Keep this plan in an easily accessible location and share with family members/caregivers.