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Personal Health Record Template

Help your patients take charge of their health and maintain a Personal Health Record using our PDF Personal Health Record template with a medication table, vaccination history, emergency contacts, and personal information section.

Telita Montales avatar

By Telita Montales on Aug 2, 2025.

Fact Checked by Nate Lacson.

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Personal Health Record Template Template

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Commonly asked questions

An electronic health record (EHR) comprises all the documentation of a patient's health history stored by a particular provider. The provider maintains the EHR for reference, legal, and billing purposes. The personal health record (PHR) is a record maintained by the patient themselves for their personal reference. A PHR will not necessarily be as comprehensive as the EHR and may prioritize certain types of information depending on the patient's needs.

This Personal Health Record Template can benefit patients who want to organize all their key medical information into a single, easy-to-read document. Patients who may find this template particularly useful are those who usually struggle to recall details of their medical history, who see multiple specialists, or who are seeing a new practitioner for the first time and need to convey key medical information to a new provider.

Not necessarily. Your patient may have some of their medical information available, but they may be unsure about certain points and need assistance from you on some details. For emergency contact details and the personal information section, you should leave this to your patient or their representative to fill out.

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