# Shared Care Plan Your Personal Health Record
>SIGNED IN: Jasper Wardin My Registration Sign Out
NAME Birthday, Age, Gender
Home | Care Team | About Me | Diagnoses | Next Steps | Health Log | Medications | Reactions | History | Adv. Directives
# I want the person working with me to know... (help) This section is for you to record important details about your health and life that will help healthcare professionals understand your needs. Use the "Edit About Me" button to make changes. [Edit About Me]
# I have challenges with: * [ ] Vision * [ ] Hearing * [ ] Speech * [ ] Mobility * [ ] Transportation * [ ] Other Comments:
# This is the most important information you need to know about me: "....."
# My primary language is ____ Comments:
# My blood type is: ___
# I have special dietary needs Comments: ___
# My religion/spirituality impacts my health care Comments:
# I have: (HELP) * [ ] Advance Directives * [ ] POLST * [ ] Power of Attorney
Comments:
# I live in a retirement community Comments:
# I learn best by:
* [ ] * [ ] * [ ] * [ ]
About Me
> # Keys to Symbols Lock | Indicates that the patient has marked an item as private (hidden from one or more Care Team members). Your respect of this sensitive information is appreciated. i | Place your mouse cursor over an information icon (don't click) to see who last updated the item and when. Orange Triangle | These information icons indicate items updated since you last viewed this Shared Care Plan. Orange * | Indicates a required field