MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes....
Transcript of MEDICAL - Savor · weight loss tracker starting weight: date: date weight bmi waist hips notes....
SAVOR + SAVVY
BINDERMEDICAL
SAVOR + SAVVY
BLOOD PRESSURETRACKER
TARGET SBP: TARGET DBP:
DATE TIME SBP DBP BPM NOTES
SAVOR + SAVVY
BLOOD SUGARTRACKER
WEEK OF:
BEFORE MEALS 1 HR. 2 HRS. 3 HRS.
MB
L
D
S
TB
L
D
S
WB
L
D
S
TB
L
D
S
FB
L
D
S
SB
L
D
S
SB
L
D
S
SAVOR + SAVVY
MEDICATIONCHART
WEEK OF:
MEDICATION DOSAGE PRESCRIPTION INFO REORDER ON
MEDICATION NOTES
M
T
W
T
F
S
S
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MEDICALINFORMATION
PRIMARY DOCTOR PREFERENCESName Emergency Contact:
Address
Phone Hospital:
Email Pharmacy:
DENTIST PERSONAL INFOName D.O.B:
Address Blood Type:
Phone Weight:
Email Height:
PEDIATRICIAN MEDICAL CONDITIONS & ALLERGIESName
Address
Phone
VETERINARIANName
Address
Phone
OTHERName
Address
Phone
INSURANCE INSURANCE
Company: Phone: Company: Phone:
Policy: Copay: Policy: Copay:
SAVOR + SAVVY
MEDICALAPPOINTMENTS
DOCTOR: DATE /TIME:Location: Contact:
Reason:
Result:
Completed Canceled Rescheduled
NOTES:
DOCTOR: DATE /TIME:Location: Contact:
Reason:
Result:
Completed Canceled Rescheduled
NOTES:
DOCTOR: DATE /TIME:Location: Contact:
Reason:
Result:
Completed Canceled Rescheduled
NOTES:
SAVOR + SAVVY
MIGRAINETRACKER
DATE: DURATION:Start time: End time:
PAIN SCALE:
Trigger:
TREATMENT/COMMENTS:
1 2 3 4 5 6 7 8 9 10
DATE: DURATION:Start time: End time:
PAIN SCALE:
Trigger:
TREATMENT/COMMENTS:
1 2 3 4 5 6 7 8 9 10
DATE: DURATION:Start time: End time:
PAIN SCALE:
Trigger:
TREATMENT/COMMENTS:
1 2 3 4 5 6 7 8 9 10
SAVOR + SAVVY
SYMPTOMSTRACKER
DATE TIME SYMPTOM TRIGGERS / NOTES
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
Intensity:
SAVOR + SAVVY
DEPRESSIONTRACKER
WEEK OF:
MMood:
Sadness level:
TMood:
Sadness level:
WMood:
Sadness level:
TMood:
Sadness level:
FMood:
Sadness level:
SMood:
Sadness level:
SMood:
Sadness level:
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
5 . . . . . . .4 . . . . . . .3 . . . . . . .2 . . . . . . .1 . . . . . . .
M T W T F S S
TOP ACTIVITIES THIS WEEK
I AM GRATEFUL FOR
OVERALL DEPRESSION LEVELS
SAVOR + SAVVY
MEDICALCONTACTS
DOCTOR:Specialty:
Phone: Email:
Address:
DOCTOR:Specialty:
Phone: Email:
Address:
DOCTOR:Specialty:
Phone: Email:
Address:
DOCTOR:Specialty:
Phone: Email:
Address:
SAVOR + SAVVY
WEIGHT LOSSTRACKER
STARTING WEIGHT: DATE:
DATE WEIGHT BMI WAIST HIPS NOTES
SAVOR + SAVVY
FAMILYHISTORY
MOTHER’S SIDE
NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D
FATHER’S SIDE
NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D
SIBLINGS
NAME RELATIONSHIP ILLNESS/ CONDITION AGE / C.O.D
SAVOR + SAVVY
INSURANCEINFORMATION
LIFE INSURANCECARRIER: PLAN TYPE: AGENT:
Customer service#: Adress: Policy holder:
Member#: Group#: Date issued:
Website: Log in ID: Pwd:
Deductible: Copays:
VISION INSURANCECARRIER: PLAN TYPE: AGENT:
Customer service#: Adress: Policy holder:
Member#: Group#: Date issued:
Website: Log in ID: Pwd:
Deductible: Copays:
DENTAL INSURANCECARRIER: PLAN TYPE: AGENT:
Customer service#: Adress: Policy holder:
Member#: Group#: Date issued:
Website: Log in ID: Pwd:
Deductible: Copays:
OTHERCARRIER: PLAN TYPE: AGENT:
Customer service#: Adress: Policy holder:
Member#: Group#: Date issued:
Website: Log in ID: Pwd:
Deductible: Copays:
HEALTH INSURANCECARRIER: PLAN TYPE: AGENT:
Customer service#: Adress: Policy holder:
Member#: Group#: Date issued:
Website: Log in ID: Pwd:
Deductible: Copays:
SAVOR + SAVVY
S L E E PTRACKER
MONTH OF:
DAY HOURS OF SLEEP INTERVAL NAP
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2
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11
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26
27
28
29
30
31
1 2 3 4 5 6 7 8 9 10 11 12
SAVOR + SAVVY
W A T E RTRACKER
MONTH OF:
DAY GLASSES OF WATER ENERGY NOTES
1
2
3
4
5
6
7
8
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1 2 3 4 5 6 7 8
SAVOR + SAVVY
EXERCISETRACKER
WEEK OF:
MON TUE WED THU
Activity: Activity: Activity: Activity:
Cardio Cardio Cardio CardioTime: Time: Time: Time:Calories: Calories: Calories: Calories:
FRI SAT SUN NOTES
Activity: Activity: Activity:
Cardio Cardio CardioTime: Time: Time:Calories: Calories: Calories:
SAVOR + SAVVY
DAILY FOODJOURNAL
DATE: CALORIE GOAL:
MEALS TIME CAL MACROS
Bprotein:fat:carbs:sugar:
Lprotein:fat:carbs:sugar:
Dprotein:fat:carbs:sugar:
Sprotein:fat:carbs:sugar:
TOTAL CALORIES: TOTAL CALORIES:
NOTES
SAVOR + SAVVY
ARTHRITISTRACKER
WEEK OF:
SYMPTOMS TRIGGERS TREATMENT
M Pain level:Mobility:
T Pain level:Mobility:
W Pain level:Mobility:
T Pain level:Mobility:
F Pain level:Mobility:
S Pain level:Mobility:
S Pain level:Mobility:
SAVOR + SAVVY
ALLERGY SYMPTOMSTRACKER
DATES DESCRIPTION MEDICATION TRIGGERS / NOTES
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
Start:
End:
SAVOR + SAVVY
DREAMJOURNAL
DATE:My dream:
Possible interpretations:
DATE:My dream:
Possible interpretations:
SAVOR + SAVVY
P U L S ETRACKER
MONTH OF:
MON TUE WED THU FRI SAT SUN
Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:
Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:
Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:
Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:
Pulse: Pulse: Pulse: Pulse: Pulse: Pulse: Pulse:
SAVOR + SAVVY
MEDITATIONJOURNAL
DATE:
TODAY’S MANTRA
MY THOUGHTS
TO DO TODAY I AM GRATEFUL FOR
1 1/
2-IN
CH S
PIN
ES
1-IN
CH S
PIN
ES
2-IN
CH S
PIN
ES
4-IN
CH S
PIN
E