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How to Prepare a Personal Health Record

By Edited Jun 13, 2015 1 1

How to Prepare a Personal Health Record

A personal health record is very helpful information to keep for yourself or other members of your family. This can be very useful information anytime you need to visit a doctor or medical laboratory especially if it is for the very first time or for a child who is moving to a college. Most medical questionnaires have many different questions. As you arrive at a doctor's office many times you are asked to fill out this information for the doctor. It can be hard to remember all the facts of your medical history particularly if you are not feeling well. This is important information for the doctor to help them make an accurate assessment of any medical problems so providing the wrong information is not a good idea. Instead take a copy of your up to date personal health information with you. This article will show you what you need to prepare a good personal health record for you or your family members.

Things You Will Need

Folder or Binder

Medical Information

Step 1

Provide your name, age, address, contact information, and occupation. You will typically remember this information but it is easier to have it in front of you. Also, you may be able to hand the information to the nurse, particularly if you are elderly.

Step 2

Provide emergency contact information. Include the names, phone numbers, and addresses of at least 2 people that can be contacted if there is a problem while you are in the doctor's office or medical office.

Step 3

List your health insurance information including primary and secondary insurance. Also provide Medicare and Medicaid information. Also list your primary doctor and dentist's names, addresses, and phone numbers.

Step 4

List if you have a living will with the trustee's contact information. Also list if you plan to be an organ donor.

Step 5

Include a list of your children's names and ages or if you are younger list your parents names and contact information.

Step 6

This is where you start to list actual medical facts about you and your immediate family members. List any known allergies you have. Include medicine allergies, actual tested allergies, food allergies, and allergies that you may have but are not sure, for example: Your dad is allergic to heart medication, but you have never been prescribed the medicine so you are not sure.

Step 7

List all of your illnesses and surgeries. Also list the medicine that you are currently taking. Include the name of the drug, the dosage, and the frequency. Also list any major health issues of your immediate family members with a date when they were diagnosed, if possible.

Step 8

Include with your record all of your immunizations, recent physicals, and any routine or medically ordered tests you have completed.

Step 9

Compile all this information in to a complete package and place it in a binder or folder to allow easy access. Next time you need to visit a doctor's office, medical office, or hospital take your personal health record with you to help inform their staff of your medical history.

Tips & Warnings



Jun 19, 2010 5:47am
Very well done - helpful and useful information A+!
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