What matters most to them, their medical wishes, a hospital go-bag and a plan for emergencies.
Get all 10 modules in the Caregiver Binder
$24 instead of $40: save 40%. Includes the cover, index, dividers and labels.
See the full binderPage by page
Page 1
What matters most to them, in their words.
Wants to live: At home / With family / Assisted living / Care home / Not sure · What matters most · Fears or worries · Religious or cultural needs
About hospital stays · About life support
Advance directive kept at · DNR / POLST kept at · Healthcare agent · Agent phone
Page 2
Decide now, so nobody has to decide in a panic.
Medication list (module 03) · ID & insurance cards · Copy of advance directive · Glasses & hearing aid · Phone & charger · Change of clothes · A comfort item
A fall · Sudden confusion · Trouble breathing · Hospital admission · Caregiver can't come · Situation · First, do this · Then call
Backup caregiver · Phone · Respite / agency
Preferred hospital · Address · Who stays with them
Formats
US Letter and A4, each in color, ink saver and fillable.
01
Both paper sizes in every download, so it prints right wherever you are.
02
A bold color version and a printer-friendly version with all the structure and none of the ink.
03
Type straight into the fields on your computer, save, and print only what you need.
04
Bookmarks and a tappable table of contents in every complete binder.
Caregiver Binder
The basics anyone helping needs, plus a "This Is Me" page about who they are: routines, likes, what calms them, their story.
2 pages · $4
Family, providers and services in one place, plus a "who does what" task list and visit schedule.
2 pages · $4
A full medication list and a weekly schedule with a checkbox for every dose.
2 pages · $4
Upcoming appointments, test results and a visit notes sheet to print for every appointment.
2 pages · $4