The helper sheet

One page for whoever helps at home: a neighbor, a sibling, a paid aide. Fill it in, print it, leave it on the fridge. Nothing is stored or sent.

If someone is hurt, has fallen and cannot get up, or is in danger, call 911. If you or the person you care for is in emotional crisis, call or text 988.

1. Who and when

Their first name (optional)

Morning Afternoon Evening and night

2. Help with the body Moving around Washing and the toilet Medicines Medicine times, if the helper reminds

3. What works, and what never to do What upsets them, and what calms them Never do this

4. Who to call

First call: name Number

If no answer: name Number

Who speaks for them on medical decisions (optional) Number

If they are in hospice care: the hospice's number (optional)

How this works

It runs in this browser. Nothing you type is saved or sent; close the page and it is gone, so print it first.
Every sheet ends with 911, 988 and the Eldercare Locator (eldercare.acl.gov, 1-800-677-1116), the public service that connects families to local help.
It is a note between people, not medical advice. Questions about medicines go to their doctor or pharmacist.

Not sure what help is needed, or what Medicare pays for? Do the stay-home check. Want to rehearse asking for help? Practice the calls.