Healthcare Forms

We have created healthcare forms to help you track your medications, appointments, healthcare information, and more. Because we feel passionate about helping you help yourself, we have provided these forms free for your convenience. Each page will provide you a link to the PDF version of the form which you can print and include in your healthcare binder to maintain your personal health records (this will tell you the how's and why's of keeping your medical records).

While we haven't yet mastered creating forms which you can actually fill in on your computer and save directly (we are working on it!), they can at least provide you with a (free) start to creating your own healthcare binder.

The old saying "you can lead a horse to water but you can't make him drink" came to mind as we created these forms. While we are providing you with the tools that you need, in this case, the forms themselves, they are useless unless you decide to use them! And, they are only "useful" if you keep the information up to date!!!

While the technology exists to create an identification card that can carry all your health history including medications, hospitalizations, health conditions and allergies, a "universal" system has not yet been established. Until a system is in place, it is up to you to do as much as you can to have this information available and up to date for your healthcare team! Remember, you are the chief executive officer (CEO) of your healthcare team!

Whether you decide to use the healthcare forms we have provided, or to create your own is not as important as - yes, write it down!

Please note, you must have Adobe® Reader® on your computer to view these healthcare forms. If you do not have this software, and would like a free copy of it, please click

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Health Information Sheet

Medication Flowsheet

Vitamins/Herbal Supplements/Over-the-Counter Medications

Appointment Calendar

Doctor Appointment Worksheet

HIPAA Release Form

Hospital Checklist Form

The following sites will add further to your information:

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