Portable Health Profile

A portable health profile or record is important to manage your health information because it is a comprehensive summary of your medical / health history. A portable health profile should include your personal health history, medical conditions, medications and emergency contact information. This can help you to clearly organize critical information from many providers. Many times patients have multiple health care providers and critical health information may be in various places. A portable health profile can save time by having all your important health information consolidated in one place. This will reduce time lost trying to reconstruct a health profile each time you have an appointment.

Creating a Portable Health Profile—either in print or electronically—enables you to document your important health history in one place that is useable in both routine and emergency situations. This can help improve your overall safety during healthcare procedures by giving a complete history thus preventing omissions or errors.

We have provided such a document for your use. You can print the pdf or add new information to the Word document at any time and store on your computer. We hope you will find these forms useful with your daily healthcare needs.

Data collection form (Word format)

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  • Physiatry (Physician) Services, Integrated Cognitive Rehabilitation Program and Inpatient Services: (585) 275-3271
  • Physical Therapy and Occupational Therapy:
    (585) 341-9000

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