Health Care Portfolio form
Personal Health Care Profile
Creating a personal health care profile can be helpful to you, your family and your health care providers. A complete profile includes your emergency contact information, hospital preferences, your primary physician(s), insurance providers and a list of any medications you are on and/or any allergies or special circumstances that would be helpful for medical professionals to know in the event you are not able to communicate the information directly. This information should be shared with all physicians you see. It can help improve the quality of care you receive; reduce or eliminate duplicate tests; and may help you receive more appropriate care in an emergency. It also helps you to take an even more active role in your health care.
We recommend that you also attach copies of Advanced Directives, Living Wills and/or Durable Power of Attorney for healthcare to your Health Care Profile.
Click here to access a blank Personal Health Care Profile Form.
To keep your record updated, we recommend that several times a year that you review and update the following as they change and update your:
- Emergency contract information and hospital preference;
- Insurance information;
- List of medicines you take, including the dose and how often you take the medicine and what condition the medicine is for;
- Known allergies and any reactions to medicines;
- Log of medical conditions that you have including any hospitalizations and surgeries;
- Heath care providers as they change;
- Immunization list; and
- Medical equipment that you use, including vendor contact information.
