TemplateAtlasThe TemplateAtlas catalog
Healthcare Documents
In this collection
41 templates
Care Discussion Before Leaving
Prepare a factual discussion record for a licensed clinician when a patient considers leaving before recommended care is complete. Follow the facility's own authorization process.
Baby Feeding Chart
Record feeding sessions to share your own observations with a caregiver.
Birth Plan
Share your preferences and questions with your maternity care team.
Personal Blood Donation Record
Record completed donations and the next date supplied by the collecting organization. Eligibility requires the center’s screening.
Blood Pressure Log
Keep your own blood pressure readings with their times and context for a clinical visit.
Blood Sugar Chart
Record measured glucose and meal timing in the units shown on your meter.
Blood Type Diet Claim Review
Examine a nutrition claim before changing your meals. A systematic review found no evidence validating the claimed benefits of blood-type diets.
DAP Clinical Note
Organize encounter documentation under data, assessment, and plan. Use the treating professional's judgment and local record policy.
Dental Visit Documentation Request Form
Ask a dental practice for the documentation you need after a visit.
Discharge Summary
Prepare a clinician-reviewed transition-of-care summary from the existing patient record.
DNR Conversation Preparation
Prepare questions for a licensed clinician about a do-not-resuscitate order. Only the applicable authorized medical process can create an order.
Medical Visit Documentation Request Form
Request visit documentation from the clinician or practice that provided care.
Dog Vaccination Record
Copy vaccination information from a veterinarian's record without guessing due dates.
Ecomap Worksheet
Map a person's relationships with family, services, and community supports.
Emotion and Context Chart
Use your own words to describe feelings and the situations in which they arose. This reflection sheet makes no diagnostic claims.
Feelings Word Chart
Choose a word that fits how you feel, or add a word of your own.
Foot Comfort Observation Chart
Use this personal record for touch preferences. Reflexology’s proposed links between pressure areas and internal organs are not established.
Hand Comfort Observation Chart
Use this personal record for touch preferences. Reflexology’s proposed links between pressure areas and internal organs are not established.
Headache Episode Chart
Record your own observations before a clinical visit. You can leave unknown details blank.
Headache Diary
Track headache episodes and observations to discuss with a care professional.
Letter of Medical Necessity
Prepare a clinician-authored request using the patient's documented clinical record and payer requirements.
Treatment Consent Discussion Worksheet
Prepare questions and document the discussion before completing a provider's required treatment consent.
Personal Health History Summary
Gather information to review with your clinician. Use your records when exact dates or dosages are uncertain.
Health Care Agent Planning Worksheet
Prepare the choice of a health care agent and questions for completing the appropriate state directive.