Health Info Kit

Health Info KitHealth Information Kit (grab it on your way to the doctor)

If you’re late for a doctor appointment (or if you’re dealing with an emergency), you don’t want to be searching all over the house for health information, insurance details, and lists of prescriptions. With a little work ahead of time, you can have all that information at your fingertips, ready to grab on your way out the door.

The Health Info Kit is essentially a convenient, organized, digital “container” for the medical information you might need before, during, or after a doctor visit. Click the title below to download it, fill in your information (your own or your parents’), and then store it in a binder or folder that you can grab on your way to the doctor.

  • Health Info Kit is a Word document you can type your information into and then print for your records. The Health Info Kit has forms for Emergency Contact Information, Current Medications, Doctor and Pharmacy Contact Information, Health History, and more.

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ph-free-downloadsOther helpful health forms

Listed below are other forms commonly requested by healthcare personnel. Download the ones you need, and then store them in the same binder with your Health Info Kit:

  • Durable Power of Attorney for Health Care – ILLINOIS allows a person to delegate the power to make decisions regarding his own health care. The document may be used instead of or together with a Living Will.
  • Durable Power of Attorney for Health Care — Q and A gives thorough, easy-to-understand answers to common questions about the Durable Power of Attorney for Health Care document.
  • Durable Power of Attorney for Property – ILLINOIS allows a person to delegate the power to make decisions regarding assets, finances, and real estate.
  • Durable Power of Attorney for Property — Q and A gives thorough, easy-to-understand answers to common questions about the Durable Power of Attorney for Property document.
  • Do Not Resuscitate (DNR) informs medical responders that you do not want CardioPulmonary Resuscitation administered during an emergency.
  • Living Will indicates your desire not to “artificially postpone” your death.
  • MICHIGAN Guide to Medical and Legal Decisions includes question-and-answer sections, general information, and forms on Michigan’s Statutory Will and Patient Advocate law and organ donation.
  • Five Wishes may be used instead of a Living Will or Durable Power of Attorney for Health Care. It is a simplified form that lets you indicate (1) who you want to make care decisions for you when you are unable, (2) what kind of medical treatment you want, (3) how comfortable you want to be, (4) how you want people to treat you, and (5) what you want your loved ones to know.