Personal Health Information & Family Health History
Knowing our own personal health information and our family’s health history are critical to taking ownership of our health. Each time we see a new physician or specialist, we are asked for this important information.
The tools below can help you organize this information, and can help you ensure it is readily available the next time you need it.
Downloadable Resources from the Washington Health Foundation
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Patient Information Form This form is similar to what you will receive at a first time visit with any health care provider. Download and fill it out to have all your information with you at your appointment—or keep on file in your personal records. |
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Health History Form This type of form often accompanies the above document. It provides an overview of your personal health history, including allergies, immunizations, medications, surgeries and health conditions. |
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Family Health History Form Understanding how to gather your family health history is a major step toward taking control of your health. That’s because your family’s health often contains significant clues to your own health status. |
Other Resources
My Health Portrait
This online tool is provided by the U.S. Surgeon General and allows you to create a private family health history in 15 – 20 minutes. You can download or print the information, but it is not stored or kept anywhere online. Visit the website for more information and a list of frequently asked questions.
