Binder Replacement Pages

Print binder pages by clicking on one of the sections below. These sections are the same as the tabbed sections in your binder. Or, email CaregiverResources@hfhs.org or call (866) 574-7530 for assistance.

Caregiver Binder Pages

Front of Binder
Section: Front of Binder

Personal Health Record form
Important Contacts
Section 1: Important Contacts

Physician Contact Information

Patient Support Team and Support Team Contact Information
Health History/Labs
Section 2: Health History/Labs

Patient Medical History.

Lab Results
Medications
Section 3: Medications

Medication List

Medication Tracking Chart

Daily/Regular Medication List

As-Needed Medication Chart

Medication, Medical Equipment and Medical Supply Orders

Top five excuses for NOT taking medications — and suggested caregiver responses

Medication Disposal

How to Dispose of Medicines Properly
Charts
Section 4: Charts

Blood Pressure Chart

Glucose (Blood Sugar) Levels Record

Pedometer Step Chart

Tracking Chart for: (Blank Chart)
Resources
Section 5: Resources

Caregiver Resources

Caregiver Tips

Wash Your Hands
Questions and Answers
Section 6: Questions & Answers

Questions for the Doctor

Questions for your care Team

Patient Health Goals
Advance Directive
Section 6: Advance Directive

Advance Directive Form

Caregivers Facebook Group

Join our Facebook group and link with fellow caregivers. Our group is a hub for resources and information from local experts.

Medication Safety

Sometimes it can be hard to take medicine the right way. Taking medicine properly is important to keep you healthy.

Virtual Sessions

Download a list of our FREE summer virtual support groups, self-care, and educational sessions.

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