Care Recipient Profile

The basics anyone helping needs, plus a "This Is Me" page about who they are: routines, likes, what calms them, their story.

2 pages43 fillable fieldsLetter & A4Ink saver incl.

Buy for $4

Get all 10 modules in the Caregiver Binder

$24 instead of $40: save 40%. Includes the cover, index, dividers and labels.

See the full binder

Page by page

What's on each page.

Page 1

Care Recipient Profile

The basics anyone helping needs to know.

APersonal

Full name · Likes to be called · Date of birth · Phone · Language spoken · Address

BEmergency contacts

Name · Relationship · Phone · Best time

CHealth summary

Main conditions · Allergies · Blood type · Primary doctor & phone

DMobility & daily help

Gets around: Independent / Cane / Walker / Wheelchair / Bed-bound · Uses: Glasses / Hearing aid / Dentures / Continence products · Needs help with: Bathing / Dressing / Eating / Toileting / Moving

Page 2

This Is Me

Who they are, not just what they need. In their words if possible.

AA good day

Usually wakes up · Usually goes to bed · Morning routine · A good day looks like

BLikes & dislikes

Favorite foods · Foods to avoid / dislikes · Music, shows & radio · Things they enjoy doing

CWhen they're upset

What upsets them · What calms them

DLife story

Grew up in · Work they did · Important people & pets · Stories they love to tell

Formats

Six files in every download.

US Letter and A4, each in color, ink saver and fillable.

US Letter & A4

Both paper sizes in every download, so it prints right wherever you are.

Color & Ink Saver

A bold color version and a printer-friendly version with all the structure and none of the ink.

Fillable PDF

Type straight into the fields on your computer, save, and print only what you need.

Clickable index

Bookmarks and a tappable table of contents in every complete binder.

Caregiver Binder

Pairs well with

Care Team & Contacts

Family, providers and services in one place, plus a "who does what" task list and visit schedule.

2 pages · $4

Medications & Schedule

A full medication list and a weekly schedule with a checkbox for every dose.

2 pages · $4

Appointments & Visits

Upcoming appointments, test results and a visit notes sheet to print for every appointment.

2 pages · $4

Symptoms & Vitals

Blood pressure, sugar, weight and temperature logs, plus symptoms, falls and incidents.

2 pages · $4