Health Information Checklist to Keep Caregivers Organized

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Having up-to-date medical information for your parent helps you to manage health care and medications, and it is crucial to have in case of an emergency.

Use this checklist to make sure you have all of the pertinent information about your elderly parent's health readily available, in one place.

Printable Health Information Checklist

  • Parent's date of birth
  • Parent's Social Security number
  • Medicare/Medicaid information
  • Health insurance information (name, phone number, policy information)
  • Primary care doctor (name, phone number and location)
  • Specialists (name, phone number and location)
  • Medication (name, dosage, time of day taken)
  • Over-the-counter supplements (name, dosage, frequency taken)
  • Medical history (past illnesses and surgeries)
  • Family medical history (illnesses, causes of death for mother, father, siblings)

 

 

 
 
 

Comments

 
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johnnycares

Give a Hug

May 5, 2011

This information is right on the money,thank you

 
 

HomeHelpers

Give a Hug

Jul 4, 2011

As a caregiver at Home Helpers Home Care, we have a binder that holds all this information in a central place in the home. The binder needs to have a tabbed index so specific info can be found quickly. Extremely important to up date medications in binder EVERY time there is a change in medication or frequency. Indicate purpose of each medication. All Power of attorneys’ and living will directives to the binder. If your Grandparents, or you need to call 911, this book can be given to them and it has everything they need. ALL essential medical and legal info also needs to be in an envelope of varying sizes for emergencies when traveling outside the home. If a car accident, or a health emergency occurs at the store, you are prepared. Hope this helps.

 
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