My Medical Chart
Take Control of your health and healthcare
Collecting and organizing important information about you and your health care is the first step towards getting the most out of your medical care. Do not rely on your health care provider to remember everything about your past treatment. Remember you are the best person to know what is most important to you personally and to advocate for yourself.
Use these links to find forms that will help you organize information important to your health care. Print these forms and update them regularly. Record important information between visits. File the forms in a care notebook. Bring this notebook to your medical visits and file new information and homework together in one place.
In this section you will find forms to store your medical history, update medication lists, set goals for your care, documents to help you prepare for medical and hospital stays, and worksheets for therapy. Let us know about a form or vital information that helps keep you or your health care provider on track (submit your idea using the contact us
feature on this website).My Medical Chart
Lifestyle and Self -Care Management Worksheets
These forms may be printed for personal or educational use. The NWPF requests that you include the author and source as noted below on any printed materials distributed for educational purposes.
Author: Monique Giroux, MD