Kit Contents

Hospital Action Plan

Each Aware in Care kit is filled with useful tools and information to help a person with Parkinson’s during the next hospital visit. You can download each of the following kit items for print below:

Hospital Action Plan

Hospital Action Plan

Read about how to prepare for your next hospital visit — whether it is planned or an emergency.

Nurse Fact Sheet

Nurse Fact Sheets

Share vital information about Parkinson’s with every member of your care team in the hospital.

Medical Alert Card

Medical Alert Card

Fill in your card with emergency contact information and place in your wallet.

DBS Info Card

Deep Brain Stimulation Info Card

If you have had a deep brain stimulator implanted, share this information with anyone providing medical care to you in the hospital.

Medication Form

Medication Form

Complete this form and keep copies in your kit for use at the hospital. If you download the form, you can fill it out on your computer before you print it out. 

Medication Form

Spanish Medication Form

Complete this form and keep copies in your kit for use at the hospital. If you download the form, you can fill it out on your computer before you print it out. 

Duopa Info Card

Duopa Info Card

If you use the Duopa pump, share this information with anyone providing medical care to you in the hospital.

The following items can only be obtained by ordering a physical kit

Parkinson’s ID Bracelet: Wear your bracelet at all times in case you are in an emergency situation and cannot communicate.

Magnet: Use this magnet to display a copy of your Medication Form in your hospital. 

Additional Items

Hospitalization During COVID-19 Doctor Letter

COVID-19 Hospitalization LetterPlease ask your primary Parkinson’s care provider to sign this letter, which letter highlights the impact that infections can have on Parkinson’s symptoms and the importance of adherence to the Parkinson’s medication schedule, recommending self-administration if this is not possible given how overwhelmed most hospitals are/will be during the COVID-19 crisis.

Download the hospitalization letter.

To print key pages from the Hospital Action Plan, the Hospitalization During COVID-19 Doctor Letter, the medication form, Fact Sheet for Nurses and the Medical Alert Card from a single PDF, click here.

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