Patient and Family Caregiver Resources

Taking Care of MY Health Care
National Transitions of Care Coalition

This two-page document is a tool to record the patient’s medical condition, to enter information about care transitions and to document medications efficiently in a tabular format.

Taking Charge of Your Health Care
Consumers Advancing Patient Safety, 2009

This eight-page document is a tool to record personal information, hospital team contact information, medical condition related data , doctor/nurse appointment schedule , pharmacy contact information and questions for the doctor. It also provides directions on seeking help and paying bills.

Talking to Your Doctor Or Nurse
Consumers Advancing Patient Safety, 2009

This two-page document helps you prepare for a doctor’s visit, namely under three heads: before you go, when you go and before you leave.

Taking Care of Myself: A Guide to When I Leave the Hospital
Agency for Healthcare Research and Quality, 2010

A 16-page comprehensive tool to record medications, appointments and medical condition at the time of discharge.

Your Discharge Planning Checklist
Centers for Medicare and Medicaid Services (CMS), 2010

This six-page discharge checklist provides check-off items for discharge and for the family caregiver, a drug table, appointment scheduler, and list of resources.

What do I Need as a Family Caregiver?
Next Step In Care, 2008

This five-page document is a tool to record family caregiver information and to check the caregiver’s ability to accomplish the required tasks. It can also be used to document information about previous use of homecare services, to take notes about other concerns, and to record important contact information.

Consumer Tips Guide for Patients and Their Families
From Patient Safety Authority (Virginia), 2011

This 40-page document provides guidance in choosing a healthcare facility and leaving the facility with important information related to discharge. It includes tips for infection prevention and medication safety.