• EMIC - Emergency & Medical Information Card

    “An all‑in‑one card that provides fast access to your medications, emergency contacts, vehicle details, and essential information when it matters most.”
  • Format: (000) 000-0000.
  • Medicine Information (up to 15 prescriptions, after 10 size is reduced for accommodation).
    Rows
  • Allergies - If any, list here
    Rows
  • Primary Doctor's Information
    Rows
  • Secondary Doctor's Information (myself I chose my Cardiologist)
    Rows
  • Emergency Contact Information
    Rows
  • Vechile Information (Optional, Ideal to have incase of accidents)
    Rows
  • Car Insurance Information (Optional, Ideal to have incase of accidents)
    Rows

  • Disclaimer:

    EMIC is a service provided by Bears Laser Engraving. By submitting this form, you acknowledge and agree to the following: All information entered is provided directly by you (the end user). Information is used solely for creating EMIC (Emergency & Medical Information Card) products. We do not sell or share your information with third parties. Information is securely stored in a professional cloud platform to support future updates or reorders. Bears Laser Engraving / EMIC does not verify the accuracy of the information you submit. You are responsible for ensuring all details are accurate and up to date. Communication may occur via email, text message, or phone regarding updates, confirmations, or form notifications. The QR code or a clickable link to this form may also be provided via email or text for your convenience. Bears Laser Engraving / EMIC is not liable for any errors, omissions, or outdated information provided by the user. EMIC is a non-clinical product; we do not provide medical advice or verify medical information

  • What's Included

    EMIC Card, Key Chain (same color as card) and one Protective Sleeve with Lanyard

  • EMIC - Products

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    Card - Red. Card size: 3.5" x 2" .45 mm Thick
    Card - Red

    Card size: 3.5" x 2" .45 mm Thick

    $25.00$25.00
    Item subtotal:$0.00$0.00
      
    Card - Black. Card size: 3.5" x 2" .45 mm Thick
    Card - Black

    Card size: 3.5" x 2" .45 mm Thick

    $25.00$25.00
    Item subtotal:$0.00$0.00
      
    Card - Purple. Card size: 3.5" x 2" .45 mm Thick
    Card - Purple

    Card size: 3.5" x 2" .45 mm Thick

    $25.00$25.00
    Item subtotal:$0.00$0.00
      
    Card - Green. Card size: 3.5" x 2" .45 mm Thick
    Card - Green

    Card size: 3.5" x 2" .45 mm Thick

    $25.00$25.00
    Item subtotal:$0.00$0.00
      
    Card - Blue. Card size: 3.5" x 2" .45 mm Thick
    Card - Blue

    Card size: 3.5" x 2" .45 mm Thick

    $25.00$25.00
    Item subtotal:$0.00$0.00
      
    Replacement Card(s). *Existing Customers Only, Replacement for Card only
    Replacement Card(s)

    *Existing Customers Only, Replacement for Card only

    $15.00$15.00
    Color Quantity
    Red
    Black
    Purple
    Green
    Blue

    Item subtotal:$0.00$0.00
      
    Key Chain. Name, Address, Phone Number, Vehicle Information, Alergies, Emergency Contacts
    Key Chain

    Name, Address, Phone Number, Vehicle Information, Alergies, Emergency Contacts

    $8.00$8.00
    Color Quantity
    Red
    Black
    Purple
    Green
    Blue
    Orange
    Silver

    Item subtotal:$0.00$0.00
      
    Total
    $0.00$0.00

    Credit Card Payment

  • Wisconsin's Power of Attorney F-00085

    Please click the links above -or- below......

    State of Wisconsin's Advance Directive Information & Power of Attorney Web Site

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