Heat concern Hot weather or heat alert is forecast Home is getting too hot Outdoor errands, appointments, or work are planned Recent illness, hospital stay, or weaker routine
Cooling access Reliable air conditioning at home Some cooling, but not reliable all day No air conditioning or home stays hot Not sure how cool the home stays
Living and check-in situation Lives alone or check-ins are irregular Family, friends, or neighbors can check in Paid caregiver or agency involved Senior housing, assisted living, or facility
Medicine or health review Not reviewed for heat concerns Questions are ready for clinician or pharmacist Medicine, fluid limits, or health status changed recently Not sure what to ask
Power or equipment concern No power-dependent concern known Cooling depends on electricity Oxygen, CPAP, powered mobility, or other equipment Medicine refrigeration or temperature storage concern
Transportation to cooling Ride to a cooler place is available Ride plan is not confirmed Mobility, stairs, or transfer support may be needed Facility or housing staff should manage this
Home heat-reduction setup Not reviewed yet Some steps started Shade, fans, cooling area, and supplies are planned Needs help changing home setup
Local support contacts Not contacted yet Looking for cooling centers or local help Local contacts are written down
Use broad, non-identifying planning answers only.
Do not enter names, addresses, birth dates, diagnoses, Medicare numbers, Social Security numbers, account numbers, medication details, or private medical records. Keep personal health and emergency records in a secure place.
This planner is educational and organizational only. It is not medical, emergency-response, benefits, housing, or legal advice. For heat illness symptoms, unsafe indoor temperatures, power loss affecting medical equipment, or immediate danger, contact emergency services, local authorities, a clinician, or a nurse line right away.
Official references:
CDC extreme heat safety ,
CDC heat and older adults ,
Ready.gov older adults ,
Heat.gov .
