Medical Document Holder
When seconds count, keep your medical paperwork visible, organized, and nearby.
A compact holder for up to three folded sheets, with pockets for everyday cards, a detachable lanyard, interchangeable placards, and a wristband that points responders toward your documents.
Wear it, carry it, or keep it close on a walker, wheelchair, or cane.
The problem & the solution
A patient collapses away from home. Their family knows a DNR exists, but the signed order is in a drawer somewhere else. Responders must make an immediate decision with the information available.
A person with a valid DNR has chosen to decline resuscitation. If that order cannot be located or verified, CPR may begin while the situation is clarified. Resuscitation can cause rib fractures, and a survivor may face hospitalization, further treatment, and medical expenses they had hoped to avoid.
Keeping the actual order visible and nearby helps responders locate and review the patient’s documented wishes.
A family member may insist, “They have a DNR,” while the crew has no order to review. Depending on local protocols, responders may need to begin resuscitation while seeking verification or medical direction, even as loved ones plead for them to stop. That creates a difficult clinical, legal, and emotional situation.
Accessible paperwork supports verification and care that follows valid orders and the applicable EMS process.
Watching chest compressions and other invasive resuscitation procedures can be distressing, especially when loved ones believe the patient chose to decline them. Having to search for a form or explain the patient’s wishes adds pressure to an already overwhelming moment.
A clearly identified holder gives those at the scene a place to look and paperwork they can hand to the responding crew.
NHTSA’s national EMT-Basic curriculum teaches that resuscitation should begin when written orders are absent or there is doubt. Tennessee’s 2024–2025 EMS guidelines address the presence of a properly executed DNR or POST form and direct crews to begin resuscitation when uncertain. Requirements and accepted alternatives vary by jurisdiction and medical direction.
NHTSA curriculum, p. 1-60 (1996) · Tennessee guidelines, SOP 602 · CPR and rib injuries · AHA: impacts on families and bystanders
DirectiveSafe brings the paperwork within reach
The front placard identifies what is inside. The included wristband points responders toward documents carried in a pocket or purse.
The holder gives the actual paperwork a dedicated place with the person, on their mobility aid, or in a clearly identified nearby location.
DirectiveSafe supports document access. It does not guarantee discovery, prevent unwanted treatment, or replace a valid order.
For individuals, organizations & care teams
Tell us who you’re equipping and how you plan to use the holder. We’ll help you explore quantities, customization, and order options.
Custom colors, wording, and facility branding are available for orders of 100 units or more.
Prefer email? directivesafe@gmail.com
