Printable Medical Information Form – Personal Health Record PDF

This Printable Medical Information Form is a practical way to organize important personal and medical details in one secure, easy-to-reference place. Designed as a printable PDF, this form helps individuals, caregivers, and families maintain a clear record of health information that can be quickly accessed during doctor visits, emergencies, or routine medical appointments.

Use this medical information form to document essential details such as emergency contacts, healthcare providers, medications, allergies, insurance information, and medical history. Keeping this information organized can help reduce stress during urgent situations and ensure accurate communication with healthcare professionals.

The layout is clean, clearly labeled, and spread across two pages to allow room for detailed information without feeling crowded. Each page is offset to the right, leaving space on the left for three-hole punching so the form can be easily stored in a binder or personal health file.

What’s Included

• Personal information (name, date of birth, address, and contact details)
• Emergency contacts and relationships
• Primary care physician and specialist information
• Allergies and sensitivities
• Current medications and prescribing doctors
• Health insurance provider and policy details
• Medical history and chronic conditions
• Family medical history
• Advanced directives and personal medical considerations
• Recent immunizations
• Additional notes for special instructions or observations

Benefits and Uses

• Keep critical medical information organized and easy to access.
• Helpful for caregivers managing health records for elderly individuals or family members.
• Reduce stress during medical appointments or emergencies.
• Provide accurate, up-to-date information to healthcare providers.
• Store securely in a binder and update by printing new copies as needed.

Specifications

• File format: Printable PDF (digital download)
• Page size: US Letter (8.5" x 11")
• Includes 2 printable pages in one PDF file
• Designed to be printed as two single-sided pages to accommodate three-hole punching
• Binder-ready layout with space for three-hole punching
• Clean, simple design for easy reading and writing
  
• Digital purchase only; no physical product will be shipped

How It Works

• Purchase this listing.
• Download the PDF file after checkout.
• Print the pages as needed.
• Fill in your medical information by hand.
• Reprint updated copies whenever information changes.

Browse additional organization tools in the Caregivers, Health, and Housekeeping collection for related health and home printables.