1. November 2012 This document was supported, in part, by grant number 90-MP0144 from the Administration on Aging, Department of Health & Human Services. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings & conclusions. Points of view or opinions do not therefore necessarily represent official Administration on Aging policy..

2. 2 Personal Health Care Journal

3. 3 Why use the Personal Health Care Journal? Compare your MSN and EOB to your Personal Health Care Journal and prescription drug receipts to make sure they are correct. When you understand and remember accurate information and instructions from your doctor, you can act to take better care of yourself. When you communicate your symptoms to your doctor, you help in a more accurate diagnosis and a more appropriate treatment plan.

4. 4 Personal Health Care Journal Sections of a PHCJ  Directions  Contacts  Personal Information  Calendar  List of Appointments  Personal Habits  Allergies  Family History  Medications  Medical Equipment  Notes from Doctor Visits  Description of Tests and Screenings  Notes  Your Local SMP

5. 5 Personal Health Care Journal Directions

6. 6 Personal Health Care Journal Contacts

7. 7 Personal Health Care Journal Personal Information

8. 8 Personal Health Care Journal List of Appointments

9. 9 Personal Health Care Journal Personal Habits & Allergies

10. 10 Personal Health Care Journal Family History

11. 11 Personal Health Care Journal Medications

12. 12 Personal Health Care Journal Medical Equipment

13. 13 Personal Health Care Journal List of Operations / Surgeries

14. 14 Personal Health Care Journal Notes from Doctor Visits (1)

15. 15 Personal Health Care Journal Notes from Doctor Visits (2)

16. 16 Personal Health Care Journal Remaining Pages Description of Tests and Screenings Notes Pages Your Local SMP Missouri SMP, 888-515-6565

17. 17 Personal Health Care Journal Protect, Detect, and Report

18. 18 Personal Health Care Journal You can make a difference!

19. 19 Personal Health Care Journal Thank you for your time and attention!