Family Health History Is Family Health Important! History for Jewish … · 2016-03-29 · Family...
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Funded by: Illinois Department of Public Health Family Health History Is Important! A recent survey found that 96% of Americans believe that knowing their family health history is important. Diseases which may be present in your family: • Cancer • Heart disease • Kidney disease • Emotional disorders • Down Syndrome • Diabetes • Genetic disorders • Bleeding disorders Family Health History RECORD KEEPER The Family Health History Initiative is a cooperative effort by the Center for Jewish Genetics and the Illinois Department of Public Health. Center for Jewish Genetics 30 South Wells Street Chicago, IL 60606-5056 (312) 357-4718 [email protected] www.jewishgenetics.org The Center for Jewish Genetics is a program of the Jewish United Fund of Metropolitan Chicago. Illinois Department of Public Health Genetics Program 535 West Jefferson Street, 2 nd Floor Springfield, IL 62761 (217) 785-8101 TTY (hearing impaired use only): (800) 547-0466 http://dph.illinois.gov/topics-services/ life-stages-populations/genomics DNA DAY RECORD KEEPER_gs.indd 1-3 3/11/16 1:15 PM
Transcript of Family Health History Is Family Health Important! History for Jewish … · 2016-03-29 · Family...
Funded by:Illinois Department of Public Health
Family Health History Is Important!A recent survey found that 96% of Americans believe that knowing their family health history is important.
Diseases which may be present in your family:
• Cancer
• Heart disease
• Kidney disease
• Emotional disorders
• Down Syndrome
• Diabetes
• Genetic disorders
• Bleeding disorders
Family Health History
RECORD KEEPER
The Family Health History Initiative is a cooperative effort by the Center for Jewish Genetics and the Illinois
Department of Public Health.
Center for Jewish Genetics30 South Wells Street
Chicago, IL 60606-5056
(312) [email protected]
www.jewishgenetics.orgThe Center for Jewish Genetics is a program
of the Jewish United Fund of Metropolitan Chicago.
Illinois Department of Public Health Genetics Program
535 West Jefferson Street, 2nd FloorSpringfield, IL 62761
(217) 785-8101TTY (hearing impaired use only): (800) 547-0466
http://dph.illinois.gov/topics-services/ life-stages-populations/genomics
DNA DAY RECORD KEEPER_gs.indd 1-3 3/11/16 1:15 PM
Health History on My Mother’s SideMother: __________________________________
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Grandmother: ____________________________
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Grandfather: _____________________________
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Aunts:____________________________________
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Uncles: ___________________________________
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Cousins: _________________________________
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Health History on My Father’s SideMother: _________________________________
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Grandmother: ___________________________
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Grandfather: ____________________________
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Aunts:___________________________________
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Uncles: __________________________________
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Cousins: ________________________________
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My Family Health HistoryMy Health Conditions: ______________________
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My Children: _______________________________
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My Sisters: _________________________________
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My Brothers: _______________________________
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My Nieces: _________________________________
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My Nephews: _______________________________
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DNA DAY RECORD KEEPER_gs.indd 4-6 3/11/16 1:15 PM
