Built To Resist
CD-21 · Household & records · Rev 1.0 · 2 sheets

Medication & Medical Continuity Sheet

A concise medical continuity record for medications, allergies, prescribing contacts, pharmacy information, devices, refrigeration or power needs, and care notes.

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Current formStatic HTML · no submission

Current catalog status · CD-21 rev 1.0 · site v0.61.1 · 2 browser-print sheets

Household continuity core
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BUILT TO RESIST · CIVILIAN CONTINUITY DESKCD-21 · SHEET 1 OF 2

Medication & Medical Continuity Sheet

Form revision1.0
PrivacyPrivate medical information when completed
Review cadenceReview after medication, diagnosis, provider, or device changes

A medical record can become unusable when the portal is unavailable, the usual pharmacy is closed, or a caregiver must explain needs quickly. Keep this sheet current, concise, and protected. It is an information aid—not a prescription, diagnosis, or substitute for professional care.

Person and care contacts

Name / preferred name
Date of birth (optional if appropriate)
Primary clinician / practice / phone
Primary pharmacy / phone
Backup pharmacy / phone
Emergency contact / relationship / phone

Medication register

Medication / genericStrengthDose & frequencyPurpose / conditionPrescriberRefill / notes
CD-21 · Rev 1.0 · 2026-10-03 · builttoresist.com/continuity-desk/
Prints only this visible sheet through your browser. Or open the sheet alone as a plain web page.Open sheet 2 alone →
BUILT TO RESIST · CIVILIAN CONTINUITY DESKCD-21 · SHEET 2 OF 2

Medication & Medical Continuity Sheet

Allergies, devices, and time-sensitive needs

Medication / food / material allergies and reaction
Medical devices or supplies used
Power-dependent equipment and backup plan
Medication requiring refrigeration / temperature plan
Mobility / communication / sensory access needs
Other time-sensitive care information

Review discipline

Carry or store a protected current copy where it can be found in an emergency.
Share only with people who legitimately need the information.
Do not alter medication use based only on this worksheet; contact a qualified clinician or pharmacist.
Review after medication, allergy, provider, pharmacy, or device changes.
Source basis: Built To Resist medical continuity chapters; CDC prescription preparedness guidance.
Current revision: builttoresist.com/continuity-desk/ · Site v0.61.1 · Form revision 1.0 · 2026-10-03
Status: Independent educational planning resource. No government affiliation. Not legal, medical, financial, or emergency-management advice.
CD-21 · Rev 1.0 · 2026-10-03 · builttoresist.com/continuity-desk/