Top left is an image of the first page of the Emergency Communication 4 ALL - Picture Communication Aid. This part has pictures of important words (such as bleed, broken, choke, hospital, seizure, etc.). It also has some important phrases (ex. I can't speak but I can hear and understand you) and a small letter and number "keyboard."
Bottom right (top left portion is covered by first image) is the Personal Information Form. This part has personal information (such as name, emergency contact, doctor, medications, personal assistance services, etc.) to be filled out by the person with a disability, by a family member, a familiar support person, a doctor, or by an emergency responder.
Link to the PDF document for two 8.5 by 14 inch pages:
http://www.temple.edu/instituteondisabilities/aacvocabulary/e4all/EprepPictureAid.pdf
Link to the Emergency Preparedness - Full Vocabulary Set (English):
http://disabilities.temple.edu/aacvocabulary/EMERGENCY_FULL.shtml
This communication aid is also available in Spanish or Haitian Creole:
http://disabilities.temple.edu/aacvocabulary/e4all.shtml