25
SAVOR + SAVVY BINDER MEDICAL

MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

  • Upload
    others

  • View
    5

  • Download
    0

Embed Size (px)

Citation preview

Page 1: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

BINDERMEDICAL

Page 2: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

BLOOD PRESSURETRACKER

TARGET SBP: TARGET DBP:

DATE TIME SBP DBP BPM NOTES

Page 3: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

BLOOD SUGARTRACKER

WEEK OF:

BEFORE MEALS 1 HR. 2 HRS. 3 HRS.

MB

L

D

S

TB

L

D

S

WB

L

D

S

TB

L

D

S

FB

L

D

S

SB

L

D

S

SB

L

D

S

Page 4: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MEDICATIONCHART

WEEK OF:

MEDICATION DOSAGE PRESCRIPTION INFO REORDER ON

MEDICATION NOTES

M

T

W

T

F

S

S

Page 5: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MEDICALINFORMATION

PRIMARY DOCTOR PREFERENCESName Emergency Contact:

Address

Phone Hospital:

Email Pharmacy:

DENTIST PERSONAL INFOName D.O.B:

Address Blood Type:

Phone Weight:

Email Height:

PEDIATRICIAN MEDICAL CONDITIONS & ALLERGIESName

Address

Phone

Email

VETERINARIANName

Address

Phone

Email

OTHERName

Address

Phone

Email

INSURANCE INSURANCE

Company: Phone: Company: Phone:

Policy: Copay: Policy: Copay:

Page 6: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MEDICALAPPOINTMENTS

DOCTOR: DATE /TIME:Location: Contact:

Reason:

Result:

Completed Canceled Rescheduled

NOTES:

DOCTOR: DATE /TIME:Location: Contact:

Reason:

Result:

Completed Canceled Rescheduled

NOTES:

DOCTOR: DATE /TIME:Location: Contact:

Reason:

Result:

Completed Canceled Rescheduled

NOTES:

Page 7: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MIGRAINETRACKER

DATE: DURATION:Start time: End time:

PAIN SCALE:

Trigger:

TREATMENT/COMMENTS:

1 2 3 4 5 6 7 8 9 10

DATE: DURATION:Start time: End time:

PAIN SCALE:

Trigger:

TREATMENT/COMMENTS:

1 2 3 4 5 6 7 8 9 10

DATE: DURATION:Start time: End time:

PAIN SCALE:

Trigger:

TREATMENT/COMMENTS:

1 2 3 4 5 6 7 8 9 10

Page 8: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

SYMPTOMSTRACKER

DATE TIME SYMPTOM TRIGGERS / NOTES

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Intensity:

Page 9: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

DEPRESSIONTRACKER

WEEK OF:

MMood:

Sadness level:

TMood:

Sadness level:

WMood:

Sadness level:

TMood:

Sadness level:

FMood:

Sadness level:

SMood:

Sadness level:

SMood:

Sadness level:

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

1 2 3 4 5 6 7 8 9 10

5 . . . . . . .4 . . . . . . .3 . . . . . . .2 . . . . . . .1 . . . . . . .

M T W T F S S

TOP ACTIVITIES THIS WEEK

I AM GRATEFUL FOR

OVERALL DEPRESSION LEVELS

Page 10: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MEDICALCONTACTS

DOCTOR:Specialty:

Phone: Email:

Address:

DOCTOR:Specialty:

Phone: Email:

Address:

DOCTOR:Specialty:

Phone: Email:

Address:

DOCTOR:Specialty:

Phone: Email:

Address:

Page 11: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

WEIGHT LOSSTRACKER

STARTING WEIGHT: DATE:

DATE WEIGHT BMI WAIST HIPS NOTES

Page 12: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

FAMILYHISTORY

MOTHER’S SIDE

NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D

FATHER’S SIDE

NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D

SIBLINGS

NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D

Page 13: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

INSURANCEINFORMATION

LIFE INSURANCECARRIER: PLAN TYPE: AGENT:

Customer service#: Adress: Policy holder:

Member#: Group#: Date issued:

Website: Log in ID: Pwd:

Deductible: Copays:

VISION INSURANCECARRIER: PLAN TYPE: AGENT:

Customer service#: Adress: Policy holder:

Member#: Group#: Date issued:

Website: Log in ID: Pwd:

Deductible: Copays:

DENTAL INSURANCECARRIER: PLAN TYPE: AGENT:

Customer service#: Adress: Policy holder:

Member#: Group#: Date issued:

Website: Log in ID: Pwd:

Deductible: Copays:

OTHERCARRIER: PLAN TYPE: AGENT:

Customer service#: Adress: Policy holder:

Member#: Group#: Date issued:

Website: Log in ID: Pwd:

Deductible: Copays:

HEALTH INSURANCECARRIER: PLAN TYPE: AGENT:

Customer service#: Adress: Policy holder:

Member#: Group#: Date issued:

Website: Log in ID: Pwd:

Deductible: Copays:

Page 14: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

S L E E PTRACKER

MONTH OF:

DAY HOURS OF SLEEP INTERVAL NAP

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

1 2 3 4 5 6 7 8 9 10 11 12

Page 15: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

W A T E RTRACKER

MONTH OF:

DAY GLASSES OF WATER ENERGY NOTES

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

1 2 3 4 5 6 7 8

Page 16: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

EXERCISETRACKER

WEEK OF:

MON TUE WED THU

Activity: Activity: Activity: Activity:

Cardio Cardio Cardio CardioTime: Time: Time: Time:Calories: Calories: Calories: Calories:

FRI SAT SUN NOTES

Activity: Activity: Activity:

Cardio Cardio CardioTime: Time: Time:Calories: Calories: Calories:

Page 17: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

DAILY FOODJOURNAL

DATE: CALORIE GOAL:

MEALS TIME CAL MACROS

Bprotein:fat:carbs:sugar:

Lprotein:fat:carbs:sugar:

Dprotein:fat:carbs:sugar:

Sprotein:fat:carbs:sugar:

TOTAL CALORIES: TOTAL CALORIES:

NOTES

Page 18: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

ARTHRITISTRACKER

WEEK OF:

SYMPTOMS TRIGGERS TREATMENT

M Pain level:Mobility:

T Pain level:Mobility:

W Pain level:Mobility:

T Pain level:Mobility:

F Pain level:Mobility:

S Pain level:Mobility:

S Pain level:Mobility:

Page 19: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

ALLERGY SYMPTOMSTRACKER

DATES DESCRIPTION MEDICATION TRIGGERS / NOTES

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Start:

End:

Page 20: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

DREAMJOURNAL

DATE:My dream:

Possible interpretations:

DATE:My dream:

Possible interpretations:

Page 21: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

P U L S ETRACKER

MONTH OF:

MON TUE WED THU FRI SAT SUN

Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:

Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:

Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:

Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:

Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:

Page 22: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

SAVOR + SAVVY

MEDITATIONJOURNAL

DATE:

TODAY’S MANTRA

MY THOUGHTS

TO DO TODAY I AM GRATEFUL FOR

Page 23: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

1 1/

2-IN

CH S

PIN

ES

1-IN

CH S

PIN

ES

Page 24: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

2-IN

CH S

PIN

ES

Page 25: MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes. savor + savvy family history mother’s side name relationship illness/ condition age

4-IN

CH S

PIN

E