<aside> ❗ Export this as pdf or markdown every time you update it and store copies in the cloud (that you can access without your phone), on your phone (for when you don’t have wifi), and with your emergency contact (in case you’re incapacitated).

</aside>

Patient Info

Full Name (Nickname)

Birthdate

Social Security Number (if you’re comfortable with this)

Home Address

Mailing Address

Phone(s)

Email

Sex / Gender

Height

Weight

Blood type

Primary Contacts

Spouse contact (Name, Phone, Email)

Contact info for anyone you want access to your health information