---
type: BlogPosting
title: "Emergency Preparedness About Me Form: Free Download"
description: "This printable form helps families record personal details, routines, preferences, and care information that may be useful during an emergency."
resource: "https://www.aegisliving.com/resources/blog/free-download-disaster-preparedness-about-me-form/"
tags: [alzheimers, dementia, safety-at-home, for-seniors]
timestamp: "2021-04-29T00:00:00.000Z"
---

# Emergency Preparedness About Me Form: Free Download

> This printable form helps families record personal details, routines, preferences, and care information that may be useful during an emergency.

## Meta
- URL: https://www.aegisliving.com/resources/blog/free-download-disaster-preparedness-about-me-form/
- Author: Áegis Living Editorial Team (https://www.aegisliving.com/editorial-policy/)
- Focus keyword: form
- Category: safety-emergency
- Tags: alzheimers, dementia, safety-at-home, for-seniors
- Published: 2021-04-29

### You never know when a natural disaster could strike. So be prepared.

If you are the caretaker of a senior with dementia, and you are unable to be with them or somehow get separated, make sure this free downloadable form is packed with their survival necessities that include: A 4-day supply of medicines, energy bars, bottled water and clothes, and out-of-town contacts - all in a backpack to grab and go if necessary.

Keep this form in your emergency kit to help a loved one with dementia or Alzheimer’s if disaster strikes.

Contact us to download the form.

Contact the [Áegis Living](https://www.aegisliving.com/find-a-location/) community near you to learn more about planning for a crisis or emergency.