Get Organized! Your Personal Health Record
It is important for every patient to take an active role in their own healthcare. A personal health record is designed to grow as your needs grow or your health changes, and should be updated as often as needed. It is important to record how your health changes and mark your progress.
Take the first step!
Do not get overwhelmed! Take your time, and collect a little bit of information at a time. You will be surprised how it all adds up and you will feel much more organized and prepared when seeing your doctor. Also, once you have gathered and collected the necessary information, you’ll be surprised how easy it can be to organize it and print it out later.
I keep all the following information on my computer in one text document. I revisit it whenever I am going to a new doctor and add or make changes if necessary. It is a great tool to help me remember questions or information when I’m at the appointment, and many times I can skip filling out paperwork concerning my health history that would otherwise be tough on my arthritic hands.
Your personal health record should include the following information:
Patient Information
This information includes your name, address, phone number, and date of birth in addition to:
· Emergency contact information
· Current health insurance information (Group Number, ID Number, etc)
· Doctors you are currently seeing, and your reason for seeing them
· If you were referred by another doctor, the referring doctor’s name and contact information
Lifestyle
Record your lifestyle behaviors such as tobacco and alcohol use, exercise, and eating habits. Note any significant stress or sleep changes.
Current and Past Medications Record
Maintain an accurate record of your medications to help you save time and communicate more effectively with your healthcare provider. Be honest with your doctor about when and how you are taking your medications.
· Include the name of medication, current dosage, and frequency.
· Do you forget to take your medications?
· Are you or have you experienced any side effects? (ie. dizziness, nausea, fatigue)
· List alternative treatments you receive (chiropractic, massage, acupuncture, etc.)
· List all known allergies
Questions and concerns for the next visit
Leave a place for notes and questions that you may gather between visits. It is so easy for us to forget what we want to ask our doctors, or find words to explain an odd symptom or side effect when we only have a few minutes to speak with the doctor. If you have your questions listed along with he rest of your important information, you will not forget them and will use your time with the doctor more effectively.
Additional Information worth including
_______________________________________________
The following information is good to have available to you for own reference, even if you are not bringing it to every doctor appointment.
Medical History
Record your allergies, immunizations, treatments, vital signs, laboratory test results, and preventive screening tests and results.
Family History
Store information about your immediate family medical history and their health risk factors.
Reports
Try to get copies of your personal health records from past doctors. If possible include test results x-rays, etc. If you can’t keep this information on a computer, store it in a folder in a safe place with your other important documents.
Although this might seem like a lot of information to gather, once you have it collected it will be easy to update. Try to make a habit of making notes or changes immediately following doctors appointments so you don’t find yourself trying to remember those questions you had for the doctor right before your appointment.
Having this information available is also good if you ever need to apply for disability or fill out insurance claims. Don’t rush, and don’t expect to have your personal health record completed in one session. If you take your time, and work at your own pace, you’ll certainly be rewarded the next time you are handed a clipboard, in an unfamiliar waiting room, and you are asked to provide the very same information you’ve prepared in advance.
Written by Christine Miserandino © 2008 Butyoudontlooksick.com








Comments
Great recommendations Christine! What I have had to do is use my personal journal and bring that to my appointments for prompting me to ask my questions and provide recent updates. I have also used that to take notes in. But your ideas will help to organize my health records, questions, updates, etc. Thank you!
Posted by: Maureen | June 27, 2008 07:05 PM
May I also suggest keeping the names & phone numbers of previous doctors on the list even after you have stopped seeing them? If you move or have to complete a release of records at a new doctor it is nice to have that information available.
Having worked in the medical field as a records clerk, I can't tell you how much I loved the patients that had that information readily available (some even had the fax numbers for me).
Posted by: Heather | November 20, 2008 10:18 PM
I request alll my medical records once a year from every doctor then go through it and organize all my paper work into a binder under the doctors name. I have fibromyalgia so I see a lot of different doctors.
Posted by: Mary Henderson | November 21, 2008 12:09 PM
I have a lot of allergies and also need stress doses of hydrocortisone due to an adernal insufficiency. I carry a types sheet in my wallet and I always bring one to a new doctor's office, so when I have to fill out the allergy area, I have it all printed out neatly. I also have my contact info on top and all my current medications and doses on the bottom. I keep it in a word processing file, so I can update it as necessary. i can't tell you how happy the staff and doctor's are with this, they can read it, and they don't even have to make a photocopy because I bring them their own. It saves me trying to remember, and also a lot of writing on those forms when I don't feel well.
Thanks for the great tips about assembling your medical history, I need to get better at keeping that current and this is a good way to start, a little at a time.
Posted by: Maureen | November 21, 2008 01:12 PM
This is really helpful information. I used to keep med. records in a notebook, now it's a couple of boxes but sometimes it's really important to have older records & it may be difficult to obtain them after a number of years. Our local hospital will give me copies of any tests done when I present them with a written request. Keeping these records: gives me quick & easy access if/when I go to a new Dr. Dr.'s retire, patients move, Dr.'s call in experts. Each time there is a need for old records.
A patient information sheet is really helpful to have. Mine includes the names of my Dr.'s: G.P., Cardiologist, Nephrologist & Dentist, along with their office address' & office phone numbers. It's a quick reference for a hospital or a new Dr. or urgent care... if needed.
Posted by: Ann | November 21, 2008 04:36 PM
I've been keeping records similar to your recommendations ever since my health conditions become more complicated. The Medical professionals ar always been very appreciative of the info.
The records have also proved invaluable to me at times - fibro fog can sometimes make me forget my own name!! LOL!
Thank you for the tips and advice - I've now updated my records with even more useful information.
Posted by: Lucy Smith | November 22, 2008 03:44 PM
Like Maureen, I keep track of my allergies, and keep a copy in my wallet as well as on the computer. My single sheet of paper has lists my current doctors' names and numbers, my diagnoses, my current medications and dosages, my supplements, and my allergies. I carry this around not only for the doctors, and yes, I also take them their own copies, but also for possible emergency medical personnel. If I'm in an accident or pass out somewhere, I want the paramedics to know what I'm already on before they start administering more medications! And in an emergency room, I want the doctors to know what's wrong with me, that I'm allergic to several antibiotics, and what medications I'm already taking. Medical records are important in multiple situations. Thanks for reminding all of us!
Posted by: *Deena | November 22, 2008 08:19 PM