My Root to Rx Medical History Log

Keep your medical history the way a clinical research professional would. This free one-page log puts your long-term picture in one place: ongoing and past conditions with the date each started and whether it's ongoing or resolved, who manages each one, plus your surgeries and allergies. Walk into any appointment, or a new specialist, with real data instead of a rough memory. Bonus: fill it out ahead and send it to your provider before the visit, and use the trial-style date format (like 04MAR2020) so there's no day-versus-month mix-up. Designed by a clinical research professional. Free to download and print.