A NNH Patient Empowerment Guide

Take Charge of Your Health

Be your own advocate. Come prepared. Drive your care.

The most important participant in your healthcare is you. The trackers below help you build your own personal health record — printed, in your handwriting, in your pocket — so every visit with every provider is more accurate, more efficient, and more focused on what matters.

A note from Dr. Hurwitz

Why this matters — and where it came from

The healthcare system keeps changing — electronic records, time-pressed visits, doctors typing while you're trying to talk. What hasn't changed is the importance of your medical history. It doesn't matter if it's on paper, a phone, or a flash drive. What matters is that the information is accurate, that the communication is clear, and that the right history leads to the right diagnosis — which leads to the right treatment.

When I was growing up, my father's medical office was in our house, managed by my mother. (You may sometimes hear me introduce my father as "the real Dr. Hurwitz.") In the mid 1990s, when continuity of care was breaking down in much the same way it is today, my parents co-wrote a book called "Take Charge of Your Health Care" — essentially a survival guide for patients. It was published while I was in my second year of medical school, and my father's patients, our community, and our own family used it to organize their care.

What you'll find below is the modern version of that survival guide. These worksheets are free. Setting up and maintaining a personal health record is one of the most valuable things you can do — especially in a system that is fragmented and rushed. By taking an active, responsible role, your time with doctors becomes much more productive — and is far more likely to lead to optimal health. These sheets are for those who seek excellence in their own care. It is a noble goal.

— Craig G. Hurwitz, MD

How to use these sheets

Four steps. That's it.

1

Fill in online

Each tracker is a fillable form. Type directly into the page — your entries save automatically in your browser. No account, no login.

2

Print or save

Hit "Print" for a clean, single-page sheet. Save a PDF if you want a digital copy on your phone or in a shared folder.

3

Bring to every visit

Hand a printed copy to your provider at the start of the visit, or fax it ahead a few days early. Don't make them piece your history together from memory.

4

Update over time

Your history evolves — new diagnoses, new medications, new vaccines. Come back and update your sheets whenever something changes.

5 minutes · Before any visit

Show up prepared — every time

The "one thing" What is the single most important thing you want to address at this visit? Write it down.
Updated med list Print a current medication sheet — including OTCs, supplements, doses, and allergies.
Symptom timeline If you're being seen for a problem, bring a short health-diary log: when it started, what helps, what doesn't.
Questions list Three questions, prioritized. The first one will get the most time and attention.
Recent records Lab results, imaging reports, or specialist notes from elsewhere — bring copies, don't assume they've arrived.
A second set of ears For complex or anxiety-provoking visits, bring a trusted family member or friend. They will hear what you miss.

Your health, your record, your voice

Build your sheets, print them, bring them. The doctors who see you will thank you — and you'll get better care because of it.

Take Charge of Your Health!

Follow our easy tracking system

The healthcare system continues to go through major changes.  In hopes of driving  down costs and improving quality and safety, new electronic health records are being implemented.  Many of you have experienced trying to talk to your doctor while she is navigating your computer records.  It has certainly added to the challenge of connecting with patients during office visits.  What has not changed is the importance of the health history.  It does not matter if it's on paper, discs, iPhone or flash drive.  What matters is the accuracy of the information and the clarity of communication between you and your caregivers to improve the chance of 'the right diagnosis' leading to 'the right treatment'.

When I was growing up my father's medical office was in our house and managed by my mother.  My parents converted our garage into exam rooms and a lab where he could see patients.  You may often hear me introduce my father as "the real Dr. Hurwitz".  During the mid 1990's when the health insurance system was going through major changes my father experienced a similar disruption in the healthcare system primarily related to continuity of care.  This led him to co-write a book with my mother entitled "Take Charge Of Your Health Care".  That book could be considered a "survival guide" for patients.  While I was in my second year of med school  the book was published and was extremely useful to many of his patients, people in the community and our own family.

I frequently have discussions with my patients about these tracking techniques.  Setting up and maintaining a personal health record is a valuable tool for patients to improve the care they receive.  One of the main complaints I hear is how fragmented the health-care system is.  When I became a specialist I remember my father telling me to be sure I always sent records to the primary doctor to avoid this problem.  The worksheets and techniques outlined here are provided for free and our hope is that you will use them to create your own meaningful long-term personal health record. By taking an active and responsible role, your time spent with doctors becomes much more productive and is more likely to lead to optimal health.  These worksheets are for those people who seek excellence in health care.  It is a noble goal.

Go through each of the sections below to start your own personal health tracker and help your care team provide you with the best care.

Problem Sheet

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Medication Sheet

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Immunization Sheet

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Family History

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Social & Occupational
History

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Tracking Symptoms
Your Health Diary

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