
Inside Look Of Personal And Family Medical Record Diary
Booklet #1: My Personal Medical Information and Family History

- This booklet allows you to keep all your personal and family medical information in one location that is easy to access. The diary encourages interaction because it is easier to talk with your physician, pharmacist or family when you have all of the information together in one place.
- My Medication Log – Record and keep track of medications taken. (located in the front sleeve of the diary)
- My Personal Information – Record your personal medical conditions, diagnosis, treatment plan and any medicines prescribed for that particular medical condition so that you will always have accurate information and details of previous medical conditions. By keeping track of your personal health record, you are able to more accurately inform your doctors of any previous medical conditions so that they can provide better treatment.
- My Family Medical History – Record and track personal family medical history.
Knowing your family medical history is important because it can
alert doctors to potential illnesses that you may be at risk
for. For instance, if your mother, father, sister or brother
had cancer, diabetes, high blood pressure or some other illness,
you are at a higher risk of developing that same condition.
Since your risk factor is higher than a person who doesn’t
have a family history, then your recommended screening may be more
frequent. This is why it is important to know and inform your
doctor of your family medical history.
Booklet #2: My Doctor’s Visits and Health Information

- My Doctor’s Visits – Record your major medical visits in one location for reference. Provides a place to keep up with the type of doctor you are seeing, the reason for the visit and the medical results. Log dates, your age, doctor names, business names, phone numbers, and more.
- My Hospital Visits – Keep track of your hospital stays, your reason for being hospitalized, as well as your medical treatment and results in one location for easy retrieval. Log dates, your age, doctor names, hospital names, phone numbers, and more.
- My Things to Remember – Log and keep track of your major examinations such as colonoscopy, mammogram, prostate, etc. in one location for easy access and reference. It is very important to make sure you are on track for your next examination. Knowing your results and when to do your checkups will lead to a longer, healthier life.
- My Weight/Height Log, My Cholesterol Log, My Blood Pressure Log, My Vaccinations Log, My Allergies/Medicine Allergic to Log, My Eye Exam and My Dental Exam Log – Keep a record of your important health information for easy reference and monitoring.
- My ___________ Log - Personalize it to record, keep track of and monitor your specific medical condition.
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