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409 W VICKERY BLVD, FORT WORTH, TX 76104 | 866.438.4274

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UBA Membership

Gateway Medicard

Member Driven Value.

Emergency Medical Data Card

In an emergency, getting vital health information to medical personnel quickly could be critical. Your Gateway Medicard keeps your personal medical profile handy at all times. Carry it with you at work, on vacation, or just walking in your neighborhood. You'll feel more secure knowing emergency medical personnel will have access to data needed to administer appropriate care.

Emergency Medical Data Form

Emergency Medical
Data Form 

when you send in your completed Gateway Emergency Medical Data Form, it is reduced in size and printed on a durable plastic card. It is easy to read with a standard magnifying glass routinely carried by medical professionals. Please note that separate papers or other forms cannot be accepted; be sure all information appears on the Gateway Emergency Medical Data Form.

Medical Data Cards for family

Medical Data
Cards for Family 

As a member, you may order one free medical card per account each year. It's important to update your card annually to ensure your data is current. You will receive a reminder and renewal form every 12 months. If you need to update your card more often, you may do so for only $5 each. You may also order cards for your spouse, children or other family members for only $5 each. Similar cards cost $8 to $20 from other sources. To order extra cards, request and complete an additional Gateway Emergency Medical Data Form for each individual.

How to Order Gateway Medicard

How to

To print a Gateway Emergency Medical Data Form, please visit the website listed in your member guide. If you do not have online access, you can call the number listed in your members guide to request a form. You can also scan the QR code located in the back of your member guide.