Medical 101 Sheet
Keep this with you wherever you go.
A list of medications you’re currently taking (both the brand and generic names), including the dosing and dosing schedule:
A list of allergies to medicines, foods, and contrast dye (sometimes used in medical testing):
A list of major medical problems you’ve had over the last several years, including the estimated diagnosis date:A list of major surgeries you’ve had over the last several years, including the estimated surgery date:
A description of any abnormal lab findings that you’ve had (starting with the most recent results):
In addition, if you have heart problems or an abnormal cardiogram (EKG), keep an accessible photocopy of your most recent EKG. You can keep the photo in your camera roll, or attach the photo in the iPhone Notes. A printed copy can be shrunk to wallet size, or kept on the USB drive.Additional information:The name and phone number of your primary care physician:The names and phone numbers of any other physicians that you see regularly:The name, address, and phone number of your regular pharmacy:The name and number of your emergency contact:
A list of allergies to medicines, foods, and contrast dye (sometimes used in medical testing):
A list of major medical problems you’ve had over the last several years, including the estimated diagnosis date:A list of major surgeries you’ve had over the last several years, including the estimated surgery date:
A description of any abnormal lab findings that you’ve had (starting with the most recent results):
In addition, if you have heart problems or an abnormal cardiogram (EKG), keep an accessible photocopy of your most recent EKG. You can keep the photo in your camera roll, or attach the photo in the iPhone Notes. A printed copy can be shrunk to wallet size, or kept on the USB drive.Additional information:The name and phone number of your primary care physician:The names and phone numbers of any other physicians that you see regularly:The name, address, and phone number of your regular pharmacy:The name and number of your emergency contact:
Medical History
- Medications you’re currently taking (both the brand and generic names), including the dosing and dosing schedule:
- Allergies to medicines, foods, and contrast dye (sometimes used in medical testing):
- Major medical issues you’ve had over the last several years, including the estimated diagnosis date:
- Major surgeries you’ve had over the last several years, including the estimated surgery date:
- Any abnormal lab findings that you’ve had (starting with the most recent results):
In addition, if you have cardiovascular issues or an abnormal cardiogram (EKG), keep an accessible photocopy of your most recent EKG. You can keep the photo in your camera roll, or attach the photo in the iPhone Notes. A printed copy can be shrunk to wallet size or kept on a USB drive.
Additional Information
- The name and phone number of your primary care physician:
- The names and phone numbers of any other physicians that you see regularly:
- The name, address, and phone number of your regular pharmacy:
- The name and number of your emergency contact: