NOTICE: Annual Meeting of the Members of Baltimore Life Holdings, Inc., will be held on Wednesday, March 26, 2025, at 10:00 a.m., in the Blair Conference Room at the home office in Owings Mills, MD. If you need a proxy form, you can find it here.

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Accident scene showing the importance of having a medical ID card on you for first responders.

Home / Medical Identification /

Medical ID Card Request

Medical ID Card

In a medical emergency, information is the key to timely treatment. Baltimore Life’s Medical ID Card provides information that helps emergency personnel make appropriate treatment decisions. The card fits in your wallet with your driver’s license, where it can easily be found by medical personnel. It includes such valuable information as allergies, chronic conditions and medications.

ID Card Request Form

You must be 18 years or older to request ID cards. You may submit this form up to six times.

First Name:	Required
Last Name:	Required
Address:	Required
City:	Required
State:	Required
Zip Code:	Required
Day Phone:	Required
Email Address:	Required Invalid
Birthdate:	Required
Height:	Required
Weight:	Required
Gender:	Required
Blood Type:	Required

	Emergency Contact #1
Name:	Required
Phone Number:	Required

	Emergency Contact #2
Name:
Phone Number:

	Doctor's Name
Name:	Required
Phone Number:	Required

Medical Conditions

Diabetes	Heart Condition
Vision Impaired	Asthma
Glasses	Hearing Impaired
Contacts	Implants

Other:

Current Medications

Allergies

Penicillin	Codeine
Sulfa	Insect Stings
Demerol

List Food Allergies:

Any Other Allergies or Additional Details:

	By submitting this information to The Baltimore Life Companies, you are giving us permission to contact you regarding our products and services. Baltimore Life does not share your personal information with any third party without your permission to do so. Please note that any request for a card can only be made for one’s self or for an individual that is in the requestor’s immediate family and a member of the requestor’s household.
	* The SportSmart^® card is not a form of legal identification nor is it an insurance policy. The card does not provide insurance coverage. Baltimore Life does not conduct verification of personal identity nor are we responsible for any completion errors. Baltimore Life bears no responsibility if the card is lost or stolen.