Welcome to RescuForm!

Fast. Free.Life-saving.

Your emergency information. Ready when it matters most.

See how it works

Connecting your community before an emergency

  • Fire Departments
  • EMS and Ambulance Services
  • Hospitals
  • Ambulance Services
  • Hospitals & Urgent Care
  • Senior Communities & Assisted Living
  • Doctor's Offices & Home Health
  • Nonprofits, Churches, Caregivers & More

How it works

Three steps. Ready when it matters most.

Already have a sponsored QR code? Simply scan it to fill out a form, then create a profile to link it.

  1. 01 / Download

    Download the RescuForm App

    Takes seconds to install. Saves time in an emergency.

  2. 02 / Fill

    Fill Out Your RescuForm

    Create a secure emergency form for yourself or someone you care for.

  3. 03 / Choose

    Choose How to Share

    • QR Code: Share your form with a QR code that can be scanned to view your information. Order or print your QR code after filling out your form in the app.
    • Paper Form: Request a magnetic packet with a paper form to fill out and keep on your refrigerator.
    • Search Access: Make your RescuForm searchable within the app. Only verified first responder agencies can access the search feature.

That's it. Your information is ready in case of emergency. Simple. Instant. Secure.

Search access

Only verified first responder agencies can search.

Every form viewed is time-stamped and requires confirmation of an active emergency. Anyone else needs your personal QR code.

Patient safety and transparency are built into the app.

A firehouse
Search accessVerified agencies only
  • Active emergency confirmed
  • Every view time-stamped

Get ready

Three ways to be ready

FAQs

Frequently asked.

Who can see my RescuForm?

You choose how to share it. Share it with a QR code anyone can scan to view your information, keep a paper form in a magnetic packet on your refrigerator, or make it searchable within the app. Only verified first responder agencies can access the search feature.

What does it cost?

The RescuForm app is free. The paper Emergency Medical Form and magnetic packet are free too; you just cover shipping.

I already have a sponsored QR code. What do I do?

Simply scan it to fill out a form, then create a profile to link it. If you don't have one yet, you can order or print a QR code after filling out your form in the app.

Can I make a form for someone I care for?

Yes. You can create a secure emergency form for yourself or someone you care for.

What happens when an agency opens my form?

Every form viewed is time-stamped and requires confirmation of an active emergency. Patient safety and transparency are built into the app.

Which agencies can register?

Verified agencies may apply for a RescuForm Agency Account, including fire departments, EMS and ambulance services, and hospitals.

Still have a question? Contact us