Download Your Free Chronic Illness Health Information Sheet
A while back I wrote about a tool I used called the Health Information Sheet. It’s a word document that I created that includes every aspect of my medical care. I am offering a free, downloadable word document and/or PDF version of my Health Information Sheet template. It’s quick, easy, and will save you trouble the next time you’re off to see a specialist.
How to use the HIS:
- Download, fill it in on the computer or print it and write the information in
- Update and print two copies—one for you and one for your doctor— every time you see a new specialist
- Keep one in your purse/bag/wallet for emergency situations and give one to your emergency contact person.
- Your contact information, your emergency contact information, your pharmacy information, a current and prior medication list, past/current medical history, surgical history, current physician(s) information, a symptom list, questions/discussion points to remember— everything a patient needs to keep track of and everything your new doctor wants to know about a new patient.
- Examples of how information should be entered
- Three pages of everything you need to have readily available when seeing a new doctor or in the event of an emergency
This is extremely important for those of us who are fatigued and combating brain fog. If it’s not written down and you’re put on the spot, chances are you are going to forget something (maybe even something important).
It’s a known fact that chronically ill patients have a difficult time coordinating care. Between rheumatology, endocrinology, orthopedics, gynecology, diagnoses after diagnosis and after dozens of medications, it can be difficult to keep track of dates.
So stop trying to memorize it all and put it in your free HIS.
- Click here to download or view the Chronic Curve Health Information Sheet Template PDF file
- Click here to download the Chronic Curve Health Information Sheet Template word (docx) document.