© 2018  LymeBrave Foundation, Inc.

LymeBrave Foundation, Inc. is an education and support services 501(c)(3) non-profit organization created by patients, for patients. The material found herein is for informational purposes only and is not a substitute for the medical services or advice of professionals. While we aim to provide emotional support resources to patients and caregivers, LymeBrave Foundation, Inc. makes no representation of warranties with respect to the context of the information herein. LymeBrave Foundation, Inc. is not liable for any damages, including the health and wellbeing of individuals, arising herefrom. LymeBrave Foundation, Inc. is not responsible for third-party content, nor does it recommend or endorse third-party content.

Crisis Lifeline

Lyme patients are at-risk of suicide due to the accompanying decrease in quality of life. If you or someone you love is suffering from depression or suicidal ideation, contact your physician immediately or call the
National Suicide Prevention Lifeline

 

1-800-273-TALK
(1-800-273-8255)

Connect
Disclaimer

CAREGIVER TOOLKIT
PATIENT FILES

Between prescriptions, medicine lists, disability filings, and doctor instructions, the stacks of paperwork can add up fast. Keep organized and updated files so that you can find what you need quickly and efficiently.
 

Patient Files may include:
 

  • Medical History

    • Health History (list of initial symptoms, medical tests, labwork, surgeries, and other medical conditions)
       

  • Medical Records Upon Diagnosis

    • Doctors Visit Receipts (plus record of copies submitted to insurance)

    • Doctor Care Instructions
       

  • Medication List

    • Prescription name

    • Reason for Prescription (Medical Diagnosis)

    • Instructions (Frequency, Time of Day, etc)

    • Special Care Instructions

    • Start Date
       

  • Physician Contact Information

    • Name, address, and phone of all treating physicians

    • Diagnosis and associated physician
       

  • Insurance Information

    • Medical Coverage

    • Dental and Vision Coverage

    • Prescription Plan
       

  • Disability Documents

    • Filing Documentation

    • Denial or Acceptance Letters

    • Letter of Hire from Attorney

    • Letter(s) of Appeal

    • Additional Correspondence
       

  • Legal Documents

    • Living Will

    • Medical Power of Attorney/Health Care Proxy (if applicable)

 

TIP: Keep all records organized and secure in three-ring binders. Place the newest records on top for swift document recovery.

 

WE RECOMMEND THE FOLLOWING DOWNLOADABLE FORMS:
 

Patient History:
Keep an up-to-date record of the patient’s medical history for new healthcare providers and treatment plans.

 

Patient Appointments:
Keep track of all upcoming appointments with a bonus Appointment Summary box to make note of any changes to care.
TIP: File these forms with all office visit receipts as record of care.

 

Master Medication Management Chart:
Keep track of current prescribed medications and supplements and confirm or record changes with the patient’s treating physician.

 

Human Services Recordbook:
Keep this form with the patient’s disability or benefits information as record of communication.