Next Steps

# Shared Care Plan Your Personal Health Record

>SIGNED IN: Jasper Wardin My Registration Sign Out

NAME Birth Date, Age, Gender

# Where I am -- My concerns (HELP) This section helps you identify the types of problems or concerns you are currently facing as yo manage your health. Sharing your concerns help you Care Team assist you with Next Steps.

* [ ] My ability to manage my chronic conditions * [ ] Thinking or memory problems * [ ] Family issues * [ ] Access to health care * [ ] Emotional issues * [ ] Financial issues * [ ] End of life issues * [ ] Spiritual support * [ ] Other Details: ___

# Where I want to be --Life goals (HELP) A life goal is a motivating reason you are working toward better health.

Goal Description: i | Action: [Edit] i | Action: [Edit] i | Action: [Edit]

Achieved life Goals Goal Description: i | Action: [Edit] i | Action: [Edit] i | Action: [Edit]

# How I'm getting there -- Next steps (HELP) Next Steps can be small, short-term steps that you are ready and willing to take toward obtaining your goals, or a way to help you track activities around an ongoing issue you are managing. [Add New] i | Date | Goal | [Edit] [Add Action] i | Date | Goal | [Edit] [Add Action]

Next Steps

> # 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