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Who Will Speak For You If You Can't Speak For Yourself?

90% of Americans have heard of a living will, yet only 29% had a living will. Without a plan, your health care team won't know your wishes and your family may not know what to do. Click on the link below to download an AHCD. You can take this form to Citizens Memorial Hospital, or one of several other CMH locations (see full list here) to get help completing the document or to have it notarized. 

Advanced Healthcare Directive

You can use these printable logs to track your important health numbers. You can also type your numbers directly into these forms and save them on your computer.

Blood Pressure Tracking Log

Blood Sugar Tracking Log

Weight & Blood Pressure Tracking Log

It's important for your doctor to know what medications, including vitamins and supplements, you take and how often you take them. Bring this list to your next appointment, so you can review it with your doctor.

Medication List

Visits to the doctor can be overwhelming. Use this form to help you remember to ask all of your questions during your next visit. It's also a handy place to take notes during the visit.

Questions For Your Doctor

Vaccination Schedules


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