Whenever you go to the doctors or hospital you will be asked about your health history and other important information. Fill in the following information as a quick reference for you and take a picture of it to have on your phone. Keep it with you at all times. Share with your loved ones.
Your name
Your Physicians and their contact numbers
Allergies
Family history
Father
Mother
Medical history
Surgery history
List your Medications you take with doses, all supplements & over the counter meds
Do you have a living will yes or no
List your health care surrogate and contact number
Are you a organ donor yes or no
Any family member that had bad reaction to anesthesia yes or no
Emergency contact with phone number