EMS

UFD Medical History and Medication List

My Medication Card

This sheet is provided to you by the Upland Fire Department in an effort to assist you and the fire department in the event of a medical incident.

If you require transportation to the hospital, the medical providers will need the most accurate and current information to provide care.

It is IMPERATIVE that you keep this information current.

  • Complete the form.
  • Keep a copy hanging on your refrigerator (One for every person living in the home)
  • Complete the form (a second copy) and keep a copy in your wallet.
  • Print and complete as many forms as needed but, be sure to update all of them with the most current information.

Contact the Fire Administration Headquarters if you have any difficulty downloading the Medication Card, or if have any questions or concerns.

Upland Fire Administration

475 N. Second Ave.

Upland, Ca. 91786

909 931-4180

 

City
of
Upland
California

460 N. Euclid Avenue
Upland, CA 91786
(909) 931-4100

Hours of Operation:
Monday - Thursday
8:00 a.m. to 6:00 p.m.