Printables
Free printables for the kitchen table.
Single-page forms, logs, and checklists you can print and fill in by hand — the ones families actually reach for between appointments. Free, no login, no email gate. Print any of them, or save as a PDF.
Vitals & symptom tracking
Printable blood pressure log
Log sheetA clean monthly log with a pulse column and a plain-English reference for what the numbers mean.
Printable blood sugar log
Log sheetA monthly glucose log with before- and after-meal context, dose tracking, and room for the notes your doctor actually needs.
Vital signs & symptom tracker
Log sheetA weekly log that pairs vital signs with a plain-language symptom tracker, so a rough stretch at home becomes something a doctor can act on.
Caregiver daily log
Log sheetA shared daily sheet for meals, meds, bathroom, and mood, built for handing the day off between caregivers.
Printable pain scale (0 to 10)
Reference chartA plain-English 0-to-10 reference chart, with tips for describing pain to a doctor and rating it for a child or a parent who can’t put a number on it.
Records & forms
Medical history form
Fillable formThe one-page history every new-patient packet asks for: medications, allergies, conditions, surgeries, and family history, filled in once.
Medical records release form
Fillable formA fillable HIPAA request you can send to any provider to get a copy of your own medical records.
Emergency medical information sheet
Fillable formThe single sheet EMS or an ER would want when someone can't speak for themselves: allergies, conditions, medications, and who to call.
Appointments
Questions to ask your oncologist
ChecklistA grouped checklist of questions to ask your oncologist, written for the overwhelming first visit: diagnosis, treatment, side effects, and what to nail down before you leave.
Questions to ask before surgery
ChecklistA grouped checklist of questions to ask before an operation: whether it should happen at all, your surgeon and anesthesia, which medications to stop, the recovery, and who drives you home.
Questions to ask when touring assisted living
ChecklistA neutral, print-and-bring checklist for touring assisted living or memory care: the staffing and money questions facilities bury, the memory-care specifics, and what to notice with your own senses.
Questions to ask a home care agency
ChecklistA neutral, print-and-bring checklist for hiring in-home help: the screening, backup, and liability questions agencies skip, what Medicare actually covers, and agency versus hiring direct.
Questions to ask a hospice
ChecklistA neutral, print-and-bring checklist for choosing a hospice: what Medicare covers (and the room-and-board bill it does not), who really comes after hours, how to tell a strong hospice from a struggling one, and your right to change your mind.
Questions to ask a specialist
ChecklistA bundled, print-and-bring checklist for a first specialist visit: why you were referred, what to bring so they are not starting blind, how to get the findings back to your regular doctor, and add-ons for the heart, brain, and hormone doctors.
Questions to ask at your annual physical
ChecklistA fillable, print-and-bring checklist for your yearly checkup: the big-picture questions, which screenings and vaccines to ask about, a place to write your numbers, and the Medicare wellness-visit billing trap nobody warns you about.
Questions to ask about a new medication
ChecklistA fillable, print-and-bring checklist for any new prescription: what it is for, what it interacts with, which side effects mean call now, the cost and generic question, and when you would stop, with the teach-back step most lists skip.
Need a printable we haven't made yet?
We add these as families tell us what they were scribbling on the back of an envelope. If there's a form you keep wishing existed, email hello@keptwell.org and we'll make it.