Family Caregiver Organizer (Paper Version)

A Personal and Medical Journal for the Care-receiver AND their Caregiver(s)

BASIC, PRACTICAL, INDISPENSABLE

This organizer provides easy-to-follow, step-by-step instructions for recording important daily information that can benefit everyone on the Care Team.

• Personal Information
• Basic Contact Information
• Emergency Contact Information
• Current and Past Health Information
• Daily Living Routine and Activities
• Leisure and Recreational Activities
• Calendar
• Questions for the Doctor
• Lab Tests, X-Rays and Hospital Visits
• Reminders/Shopping List
• Medication Summary
• Daily Log: Medications, Food & Beverage, Activities/Visitors, Sleep
• Care-receiver Questions/Concerns
• Caregiver Questions/Concerns

All this, plus a Respite Caregiver Checklist!

ESSENTIAL HANDBOOK FOR CARE-RECEIVERS AND CAREGIVERS