Various systems described herein may allow a user's personal information, such as their medical history, to be automatically delivered to appropriate emergency personnel in response to a reported emergency, such as a 911 call, activation of a smoke alarm or security system, or other emergency. Various items of personal and confidential information may be stored in a secure location, and the user may provide advanced approval to have the information automatically delivered to emergency responders in response to a request for emergency assistance. For example, after the user initiates a request for emergency assistance, a computing device may determine whether the user has granted approval for emergency delivery of the user's confidential information, and if such approval has been granted, the computing device may request the delivery of the user's confidential information to the emergency responders.