Form preview

Get the free IHS Personal Health Record

Get Form
RESOURCE AND PATIENT MANAGEMENT SYSTEMICS Personal Health Record (BOHR)Addendum to Technical ManualVersion 2.1 Patch 1 October 2016Office of Information Technology (OIT) Division of Information Technology
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign ihs personal health record

Edit
Edit your ihs personal health record form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your ihs personal health record form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing ihs personal health record online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit ihs personal health record. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you could have ever thought. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out ihs personal health record

Illustration

How to fill out ihs personal health record

01
Gather all necessary medical documents and information such as past medical history, medications, allergies, and immunizations.
02
Download the IHS Personal Health Record form from the official website.
03
Fill out personal information section including name, date of birth, contact information, and emergency contact details.
04
Provide accurate and detailed information about past medical conditions, surgeries, hospitalizations, and treatments.
05
Include a comprehensive list of current medications, dosages, and frequency of intake.
06
Note any known allergies to medications, food, or environmental factors.
07
Record complete immunization history including dates and types of vaccines received.
08
Document any ongoing medical conditions and the names of healthcare providers involved in treatment.
09
Include any relevant family medical history, particularly conditions that may have a hereditary component.
10
Ensure the form is legible and all information is clearly written.
11
Review the completed form for accuracy and completeness before submitting it.

Who needs ihs personal health record?

01
Individuals who receive healthcare services from Indian Health Service (IHS) facilities.
02
Native Americans and Alaska Natives who are eligible for IHS healthcare.
03
Patients who wish to have a comprehensive and organized record of their medical history.
04
Those who want to have their medical information easily accessible in case of emergencies or when visiting different healthcare providers.
05
Individuals with chronic illnesses or multiple medical conditions who require regular medical care and monitoring.
06
Caregivers or family members who assist in managing the healthcare of an individual who receives IHS services.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
30 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your ihs personal health record and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
You can quickly improve your document management and form preparation by integrating pdfFiller with Google Docs so that you can create, edit and sign documents directly from your Google Drive. The add-on enables you to transform your ihs personal health record into a dynamic fillable form that you can manage and eSign from any internet-connected device.
Adding the pdfFiller Google Chrome Extension to your web browser will allow you to start editing ihs personal health record and other documents right away when you search for them on a Google page. People who use Chrome can use the service to make changes to their files while they are on the Chrome browser. pdfFiller lets you make fillable documents and make changes to existing PDFs from any internet-connected device.
The IHS personal health record is a secure electronic record that contains an individual's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and lab results.
All individuals who receive healthcare services from the Indian Health Service (IHS) are required to have an IHS personal health record.
Patients can fill out their IHS personal health record by providing accurate and up-to-date information about their medical history, current medications, allergies, and any other relevant information requested by their healthcare provider.
The purpose of the IHS personal health record is to provide healthcare providers with a comprehensive view of an individual's medical history, which can help improve the quality and coordination of care.
Information that must be reported on the IHS personal health record includes medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and lab results.
Fill out your ihs personal health record online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.