Introduction - Using the Planner

I. Background Information

	Data Sheet . . . . . 3
	Emergency Contacts . . . . . 4
	Biographical Information . . . . . 5
	Spirituality . . . . . 7
	Disaster/Evacuation Plan . . . . . 8

II. Medical Information

	Physician List/Pharmacy Instructions . . . . . 6
	Medication Data Sheets . . . . . 7
	Glasses/Hearing Aids/Dentures . . . . . 8
	Community Service Agencies/Medical Equipment  . . . . . 9
	Doctor Appointment Summary . . . . . 10
	Advanced Health Care Directives . . . . . 11
	Final Arrangements . . . . . 12
	Document Finder. . . . . 13

III. Personal Care

	A Typical Day . . . . . 3
	Contingency Responses . . . . . 4
	Food Preferences/Allergies . . . . . 5
	Medication Schedule . . . . . 6
	Daily Notes . . . . . 8
	Personal Care Requirements . . . . . 9
	Caregiver Task Checklist . . . . . 10

IV. Home Environment

	Home Safety Checklist . . . . . 3
	Environmental Control . . . . . 5
	Landscape Information . . . . . 6
	Pets . . . . . 7
	Security System/Keys . . . . . 8
	Petty Cash . . . . . 9

V. Resources

Calendars