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Always try to keep your medical information updated.
You can print this and use as a template.
Current Medical Problems :[eg: hypertension, diabetes, cholesterol]
- Parents, grandparents and siblings
My health care proxy is: tel:
My emergency contact is: tel:
My wishes with regard to resuscitation and life support are:
My wishes with regard to organ donation are:
My pharmacy telephone number is:
My doctor is: tel: ann. exam month:
My ob/gyn is: tel: ann. exam month:
My eye doc. is: tel: ann. exam month:
My health insurance is: number:
- Immunizations (tetanus booster every 10 years with Tdap booster if in close contact with infants <1 year of age; annual flu shot; pneumonia vaccines (Prevnar-13 and Pneumovax-23 at ages 64 and 65; shingles vaccine at age 60)
- Pap smear (start at 21 and then every 1-2 years depending on type of smear test done). No screening after 69.
- Mammogram (baseline at age 40 and then annually from age 50, but family history must be taken into account)
- Bone density (baseline when at menopause, but definitely at age 65 and then repeat every two years)
- Colonoscopy (baseline at age 50 if no family history of colon cancer). No screening after age 75.
- PSA (prostate cancer screening) : controversial as to whether this actually saves lives, but current recommendation is to test between the ages of 55 and 69