Accommodation Card

Create an Emergency Card

Use the form below to create an emergency card. It will allow you to create a personalized emergency message. Select the appropriate values from the lists. When finished, click on the “Create Card” button below to create your emergency card. Print the card and keep it with your other identification cards.

This is created by Daryl Dolan in consultation with the Behavioral Health Task Force for Persons who are Deaf, Deafblind and Hard of Hearing.

Select the video of your choice - both are captioned:
ASL   Spoken English
To make an accommodation Card, I am:

Deaf

I am deaf.

To communicate effectively, I need:













Who to contact for what I need:
Example: an interpreter agency and its phone number


In case of emergency, contact:
Example: your relatives and their phone number


Hard-of-Hearing

I am:


To communicate effectively, I need: (check all that apply)










Who to contact for what I need:
Example: an interpreter agency and its phone number


In case of emergency, contact:
Example: your relatives and their phone number


Deafblind

I am:  

My full name is

To communicate effectively, I need: (check all that apply)













Who to contact for what I need:
Example: an interpreter agency and its phone number


In case of emergency, contact:
Example: your relatives and their phone number

This article is last updated on 2 years, 0 months ago.

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