Free printable medical record log

February 5, 2009

Have you ever been filling out a form (as a new patient at a doctor’s office, applying for insurance, etc.) and were asked for your (or your child’s) medical history?  And do you usually have to go by memory because you never wrote it all down?  I do.

Well, I got tired of trying to remember it all (and I never could remember it all), so I made up this form to keep track.  I keep mine in my bag (along with the kids’ vaccination records).  Whenever I’m at the doctor’s office with someone (or myself), I fill it out while I’m waiting for the doctor to come in.  Then, any follow up info (like prescribed meds, date symptoms ended, etc.) can be filled out later (which I usually forget to do but I’ve found that as long as I have the date of the visit etc., I can usually get by or, I can always call the doctor’s office for the info if absolutely necessary).

Click on it to download and print.

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Here’s an example of how it might be filled out (click to enlarge):

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Happy logging!

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Category: Kids, Lifehacks, My Family, Organization, Parenting Tips & Tools

Comments

3 Responses to “Free printable medical record log”

  1. Stacia
    February 5th, 2009 @ 2:18 pm

    Here is a website that has health related forms you can use also… http://www.myphr.com/

  2. Guitar Tube Amps
    May 27th, 2010 @ 3:15 am

    Ooh shoot i just wrote a big comment and as soon as i hit reply it came up blank! Please tell me it worked right? I dont want to submit it again if i do not have to! Either the blog glitced out or i am an idiot, the second option doesnt surprise me lol. many thanks for an excellent blog!

  3. Mary
    February 17th, 2011 @ 1:08 pm

    thank you, everyone should find this site and print this out, it is so handy to keep up your med records