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My Portable Medical Summary Name: Birth Date: Address: Parent/Guardian: Primary Language: Home/Work Phone: Emergency Contact: Phone Number(s): Pertinent Personal Characteristics: Daily Rx Medications
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How to fill out my portable medical summary:

01
Start by including your personal information such as your full name, date of birth, and contact information.
02
Next, provide a detailed list of your medical history, including any chronic conditions, allergies, surgeries, and hospitalizations.
03
Include a list of your current medications with the dosage and frequency of each one.
04
Make sure to mention any ongoing treatments or therapies you are undergoing.
05
Include the contact information of your primary care physician and any specialists you regularly see.
06
Add emergency contact information, including the names and phone numbers of your designated emergency contacts.
07
It's also important to include any relevant insurance information, such as your policy number and provider.
08
If you have any advanced directives or legal documents related to your medical care, such as a living will or power of attorney, include copies or mention their existence.
09
Finally, it's essential to regularly update your portable medical summary to reflect any changes in your health or medication regimen.

Who needs my portable medical summary:

01
Family members or loved ones: Having a portable medical summary can provide crucial information to your family members in case of emergencies or when seeking medical advice on your behalf.
02
Healthcare providers: Your portable medical summary can help healthcare providers get a comprehensive understanding of your medical history and current conditions, which can aid in providing appropriate and timely care.
03
Emergency responders: During emergencies, any medical information you have readily available can help emergency responders make informed decisions about your care.
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