CD-21 · Rev 1.0 · Sheet 1 of 2
Medication & Medical Continuity Sheet
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BUILT TO RESIST · CIVILIAN CONTINUITY DESKCD-21 · SHEET 1 OF 2
Medication & Medical Continuity Sheet
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 / generic | Strength | Dose & frequency | Purpose / condition | Prescriber | Refill / notes |
|---|---|---|---|---|---|
CD-21 · Rev 1.0 · 2026-10-03 · builttoresist.com/continuity-desk/