Hospital Safety Guide Parkinson's Foundation

The Hospital Safety Guide is filled with useful tools and information to help a person with Parkinson’s during their next hospital visit, planned or unplanned. Print these resources when you have used the copies within your guide, or share additional copies with care partners and loved ones. Hospital Safety Forms Medical Alert Card Fill in your card with emergency contact information and place it in your wallet. Medication Form Complete this form every time your medication routine changes. Keep copies with your guide for use at the hospital. If you download the form, you can fill it out on your device before printing. Parkinson’s Care Summary for Health Professionals Hospital staff may not be familiar enough with PD to understand your symptoms, know why they fluctuate or that they can worsen quickly if you do not receive your Parkinson’s medications at the scheduled times. Share this summary with health professionals providing your care to ensure they know what you need. Doctor’s Letter: Parkinson’s Hospital Care Needs Ask your primary Parkinson’s care provider to sign this letter, which highlights the impact that infections can have on Parkinson’s symptoms and the importance of adherence to the Parkinson’s medication schedule. Device-Specific Needs If you have received any surgical treatments for Parkinson’s, fill out this form and keep any device-specific information with your guide. My Personal Care Details Use this form to keep track of information that is specific to you and your care.