Q r U - Medical Alert Generator v4

📝 Create Your Medical Alert

✓ How Q r U v4 Works: Fill this form. Data saves to Firebase. QR code points to landing page where first responders see your medical info + emergency contact.

Full Name *

Blood Type

🏥 Medical Conditions

Parkinson's Disease

Sleep Apnea

Diabetes

Hypertension

Other Conditions

💊 Medications *

⚠️ Allergies

📞 Emergency Contacts

💬 Communication Tips (Optional)

✓ Your information is encrypted and stored securely in Firebase.

✓ Your Q r U Card is Ready

QR Code (Points to Landing Page)

📌 QR Encodes This URL:

ℹ️ Preview Below: This is what the first responder will see when they scan your QR code. Medical info shows first, emergency contact is clickable.