If I Go Missing - Crime Junkie

If I Go Missing

A Crime JunkieTM Podcast Guidebook

Name:

Date:

General Information

Full Name: Date of Birth: Sex: Gender: Home Address:

Cell Phone: Employer:

(See page 12 for more details)

Employer Address:

Relationship Status: Children:

(Names & DOBs)

Ethnicity: Religious Affiliations: Languages:

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Physical Appearance

Height:

Weight:

Eye Color:

Natural

Contacts

Hair Color:

Natural

Colored

Tattoos:

Piercings: Identifying Scars: Everyday Jewelry: Notes: (Identifying features, birthmarks, glasses, braces, etc.)

See included photographs for most recent appearance.

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Initials 3

Fingerprints

Dominant Hand:

Right

Left Ambidextrous

Right Thumb

Right Index

Right Middle

Right Ring

Right Pinky

N/A

N/A

N/A

N/A

N/A

Left Thumb

Left Index

Left Middle

Left Ring

Left Pinky

N/A

N/A

N/A

N/A

N/A

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Initials 4

Medical Information

Primary Doctor

Name: Address: Phone: Last Visit:

Dentist

Name: Address: Phone: Last Visit:

Therapist

Name: Address: Phone: Last Visit: Prescribed Medications:

(Please include current dosages)

Surgical History:

(Please include approx. dates of procedures)

Known Allergies:

Notes on Mental, Emotional and/or Physical Health

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Initials 5

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