Caregiver Contingency Planning Checklist
A dual-track checklist covering your care recipient's essential information and your own emergency plan—everything a backup caregiver would need at a moment's notice.
“If I need care, who will care for us” A dual-track plan for your care and your care recipient’s continuity, including where to store this information to be easily accessible.
Care Recipient Essentials
- Full name, DOB, insurance contact info
- Last four digits of Social Security Number
- Medical conditions, history, key concerns
- Allergies, medication list, prescription numbers & schedule
- Insurance cards
- Medicare Number (include date enrolled)
- Providers (PCP, specialists, therapist, etc.) with phone numbers
- Pharmacy information
- Advance directives / POLST / DNR
- Daily care plan: meal routines, hygiene, mobility
- Home safety needs (grab bars, ramps, etc.)
- Communication style preferences
- Emotional/behavioral notes (e.g., dementia patterns)
- Stress triggers and calming rituals
Caregiver Emergency Plan (YOU)
- Personal emergency contact(s)
- Backups designated to assist YOU if you’re ill or recovering
- Your own medical info:
- Diagnoses, medications, allergies
- Physician and insurance info
- Your legal prep:
- Advance directive
- Durable Power of Attorney for Healthcare
- Notes on your emotional care:
- Stress triggers and calming rituals
- Support people
- Plan for your temporary care:
- In-home help (friends, paid aides)
- Overnight or convalescent stay options
- A message or letter to your circle about how you want care and decisions made if you can’t speak for yourself
Transfer of Responsibility
- Pre-identified “care team” to support both you and the care recipient
- Roles clearly defined (e.g., medication, meals, appointments)
- Written handoff instructions:
- Who to call
- Where to find info
- What decisions can/cannot be made
- Schedule template for rotating support
- Temporary care preferences:
- Who care recipient is most comfortable with
- Professionals to contact (hospice, aides, adult day centers)
Home + Logistics for Both
- Key info shared and accessible:
- Spare keys
- Wi-Fi and alarm passwords
- Location of important supplies
- Household calendar:
- Trash/recycling, bills, deliveries
- Shared Google Docs or spreadsheets
- Sample “asks” for friends/family
- Pet care
- Emergency exits and hospital routes
Communication & Emotional Health
- Shared language:
- Scripts to inform care recipient of your illness gently
- Ways to manage their fear or confusion
- Trusted individuals prepped to provide updates to extended family
- Permission to speak honestly with others about needing help
- Coping resources for the care recipient (audio, photos, familiar music)
“Caregiver Down” — Here’s What to Do (Put on Refrigerator)
- Who to call
- Care recipient overview
- Medication schedule
- How to access caregiver’s own health plan
- Location of this full document
Storage Accessibility Tips
- Paper copies in a waterproof folder in an easy-to-grab spot — ideally where emergency responders might look first. Many caregivers keep medical orders (POLST, DNR) taped or magnetized to the refrigerator in a clearly labeled sleeve.
- Digital copies stored in a secure, password-protected document folder. If you use a password manager (like LastPass, 1Password, or Bitwarden), many allow for Emergency Access, where a trusted contact can retrieve logins if you become incapacitated.
- Shared cloud folder (Google Drive, Dropbox, iCloud) with restricted access for family or designated backups — make sure they know it exists and how to find it.
- Wallet card with a brief summary of where your full plan is stored and who to contact in an emergency.