Your Personal Health System ^TM Diary 
The PHS ^TM diary contains the following forms designed to help you keep track of your entire medical history.

1. My Personal Profile

2. Advance Directives

3. My Family History

4. Medications

5. Receipts

6. Test Results/Reports

7. Past Health Records

8. Miscellaneous & Assistive Devices

9. Allergies

10. Medical/Surgical Events

11. My Health Care Team

12. Confirmation of Appointment With Your Doctor

13. Authorization For Release of Medical Information TO Your Doctor

14. Authorization For Release of Medical Information FROM a Doctor, Clinic or Hospital

15. Medical Authorization For Return To Work

16. My Symptom Journal

17. My Reason(s) To See The Doctor

The Personal Health System ^TM diary also comes with the following:
- A PHS identification wallet card
- A vital information wallet card 
  (allergies and medications)

The PHS diary comes in an attractive, durable folder and is available at the one-time cost of $29.95* (CDN).

*All PHS diary folders are subject to a $3.50 shipping charge plus applicable taxes.

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