Portable Health Profile

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Regional Rehabilitation Center
Portable Health Profile (PHP) Data Collection Form

Download Form

Portable Health Profile Information:

A portable health profile or record is important to manage your health information because it is a comprehensive summary of your medical / health history. A portable health profile should include your personal health history, medical conditions, medications and emergency contact information. This can help you to clearly organize critical information from many providers. Many times patients have multiple health care
providers and critical health information may be in various places. A portable health profile can save time by having all your important health information consolidated in one place. This will reduce time lost trying to reconstruct a health profile each time you have an appointment.

Creating a Portable Health Profile – either in print or electronically, enables you to document your important health history in one place that is useable in both routine and emergency situations. This can help improve your overall safety during healthcare procedures by giving a complete history thus preventing omissions or errors.

Portable health profile information can be documented on paper or electronically. The
following are options to consider when developing your portable health profile:

  • Notebook / paper documentation (sample form can be printed or downloaded from the link above)
    • Gathered information can be kept in a notebook or folder and hand carried to appointments.
    • Paper document may be more difficult to neatly update.
  • Electronic documentation on computer