HHS has sample sheets that you can print out and fill in with all your essential contact and health information.
What Else Will I Need
Make sure you have:
Food and nonperishable items, such as ready-to-eat canned meats, fruits, vegetables, and soups, protein or fruit bars, dry cereal or granola, peanut butter or nuts, dried fruit, crackers, canned juices, bottled water, canned or jarred baby food and formula, and pet food.
Medical and practical items, such as prescriptions drugs and medical supplies such as glucose and blood-pressure monitoring equipment, soap and water, or alcohol-based hand wash, medicines for fever, such as acetaminophen or ibuprofen, thermometer, anti-diarrheal medication, vitamins, fluids with electrolytes, cleansing agent/soap, flashlight, batteries, portable radio, manual can opener, garbage bags and tissues, toilet paper, and disposable diapers.
Source: the Department of Health and Human Services