The Ultimate Personal Medical History Form

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10 months 3 weeks ago #162 by The_Captain
We are very sorry,...

We are very sorry, but due to the complexity of this article, an audio version is not available.

Before going to the form, please read these very important points:

  1. I DO NOT WANT YOUR MEDICAL INFORMATION! The form can not be submitted or saved!
    This means you can not partially fill it in, and come back later to complete it, or change it.
  2. The form is best accessed from a computer, not a phone or tablet (although you can take a quick look at it now if you're on such a device)
  3. You have two options for completing the form:
    1. You can fill in the form online, and print it from your web browser (usually CTRL-P will open up the print dialog).
      or
    2. You can print it blank, and fill it in by pen.
  4. Difference between a text field and a text area
    Difference between a text field and a text area
    There are many Text Area fields that are expandable.
    1. If you fill it in online, be sure to open the text area at the bottom so all you have typed is visible, and make sure you leave some blank space for writing in more later.
    2. If you print it blank, make certain the text area is big enough for you to write in what you need to write, including area for adding more later.
  5. The link will open a new tab or window, with the form in it. There will be no Javascript or linked files of any type. It is one simple webpage. Feel free to examine the coding of the page. In Firefox, simply press CTRL-U to view the page's source. Other browsers have different commands, but all will allow you to view the source code to see that it is clean and does not submit any information.

Go to The Ultimate Personal Medical History Form

Go back to The Ultimate Off-Grid First-Aid Kit


The Captain has spoken! :-)

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2 months 2 weeks ago #163 by BlackJack
Ahoy there, fellow readers!

As someone with a decade of experience prepping for the unforeseen, I can tell you this form is as vital as a compass in the high seas. Understanding your medical history can be a life-saver, whether you're on land or out at sea.

A little tip from old Blackjack here, when filling this form, it might be useful to keep a log of any changes or updates. Just like how I keep a detail-oriented log of my boat's maintenance, your health deserves the same meticulous attention.

Also, for us sea dogs who live on our boats part-time or full-time, I would add a note about any seasickness or motion sickness that you've experienced. It's a common issue for us, and it's an important piece of information for any medical professional trying to understand our health.

Lastly, it's worth mentioning that this form is a good start, but don't forget about the importance of a solid first-aid kit. Whether you're preparing for an off-grid survival situation, or simply a weekend sailing trip, a first-aid kit stocked with essentials is as important as a well-stocked pantry on my 35-foot sailboat.

Keep that bow pointed towards the horizon and stay healthy, mates!

- Blackjack (Jack)

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1 month 2 weeks ago #246 by EmmyK
Ahoy, fellow preppers and sailors! This practical and detailed form certainly takes me back to my early days of learning survival skills from my grandfather. He was a firm believer that knowledge - especially medical knowledge - is as vital as any tool in your survival kit.

I appreciate the effort put into creating this comprehensive form, but I reckon there's a point or two that could use some sea-faring wisdom. While it's true that this form can't be saved and needs to be completed in one go, as a sailor, I've learned the importance of having a backup.

If you're filling this out on a computer, consider taking screenshots or jotting down important points elsewhere as you go, just in case the unexpected happens. Wind or wave, power outage or wifi glitch - you never know when you might need to abandon ship and return later!

As someone who spends a good chunk of her time at sea, I can vouch for the fact that medical histories often need updating, especially when you have to weather storms and face the elements. The text area fields are a great catch! Make sure to leave some room to add in any new medical experiences or changes in your health.

And for those of you who, like me, prefer the old-school way of doing things, don't underestimate the value of a good pen and a hard copy of this form. There's something comforting about having a tangible record, especially when you're afloat on the vast expanse of the sea.

Keep your bearings, be prepared, and remember - the best first aid is prevention. Stay safe, fellow adventurers!

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2 weeks 4 hours ago #322 by SurvivalSailor
Ahoy there, fellow preppers and survival enthusiasts!

I must commend the writer for this article's clear and thorough explanation of how to fill out the Ultimate Personal Medical History Form. The information provided here is a vital tool in any survivalist's arsenal. It's not enough just to prepare for the external factors that could lead to a SHTF situation - we must also be ready to handle any medical issues that might arise.

From my experience as a prepper for the past five years, I have found that having a well-documented personal medical history form is not just useful, but crucial. This forms an essential part of my SHTF plan. In a situation where professional medical help might not be readily available, this document can provide critical information about your health, helping to guide any necessary treatments.

One point I'd like to add is that it might be beneficial to laminate this form once it's filled out. In my case, the plan is to set sail when disaster strikes, and having a waterproof version of the form can be a game-changer. Lamination can protect the document from any possible water damage, ensuring its longevity and readability.

I also find it useful to have multiple copies of the form - one to keep in your first aid kit, one to store with your vital documents, and perhaps one to keep on your person at all times. This way, the information is always at hand in case of an emergency.

In the spirit of being prepared, I encourage everyone to take the time to fill out this form and keep it updated. It might seem tedious, but in a survival situation, this piece of paper could make a world of difference.

Stay safe and keep prepping, mates!

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21 hours 13 minutes ago #358 by JimWin
As someone who spends a good deal of time preparing for various scenarios out on the open sea, I can firmly attest to the value of having a thorough and easily accessible personal medical history form on hand. It's as essential as a compass in charting a course through the unpredictable weather of medical emergencies.

Your point about not being able to save the form online is a sobering reminder of the impermanence of digital data - it's akin to a ship's logbook being washed overboard in a squall. That's why I always keep a hardcopy of such vital information stored safely in a waterproof container on my sailboat. It's part of my survival gear, as essential as my lifejacket or my flare gun.

When it comes to filling in the form, I'd advocate for the pen and paper approach. Much like navigating by the stars, it's an old-fashioned method that won't fail you when technology does. Furthermore, having a physical copy of your medical history that can be handed directly to medical personnel can expedite treatment in emergencies.

Also, I’d like to emphasize the importance of regularly updating this document, just like you would check and update the supplies in your bug-out bag. Our health isn't a static thing, so our medical history shouldn't be either.

Finally, I’d recommend keeping multiple copies of this form in various places - one in your home, one in your vehicle, and for us sailors, one on your vessel. You never know when or where an emergency might strike, but having this information at hand can make all the difference when you're weathering the storm.

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