Download free templates to manage your health

Consolidate your entire medical history into one template using our interactive medical summary tool

We can fill in the templates, so you don't have to.

Our free PDFs are here if you need them. But if you’d like a faster way, Derek, our new interactive health summary generator, can create your summary in minutes. And it’s free to use and download.

Derek brings everything together. Instead of filling out separate forms for your symptoms, medications, family history and diagnoses, Derek consolidates it all into one organised, shareable summary and timeline.

Just answer by typing or speaking (over 50 languages supported). In minutes, you’ll have your consolidated, personalised health summary ready to print.

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Download our Templates

Our templates have helped thousands of you prepare for your upcoming visit. We have a range of templates that you can simply download, fill out on your computer or print and fill manually.

View Templates

Step 1

Browse our list of templates and select the one that's relevant to where you are on your Health Journey.

Step 2

Click on the images to see an example of each template populated. Click the red X to return to the menu page.

Step 3

Click the download button and start filling in your details on your phone or computer. You may need to save as a new PDF before printing.

Appointment Day

A template to help ensure you obtain what you need from your long-awaited appointment. On the day, there may be a lot of information shared with you, so writing down your key focus points and taking notes will provide you with a reference sheet to consult whenever you need.

Download

Mind Map

A template to help you deep dive into your own thoughts. Click here to go to our Reflect page, which gives a step by step suggested guide on how to get started with mind mapping.

Download

Body Symptom Chart

A template for those with body-wide symptoms and need a visual representation of these symptoms. This is very useful for people with auto immune conditions.

Download (Female)

Download (Male)

Family History

A template to help you track and document your family history. Understanding familial health patterns enables doctors to assess the patient's risk for certain genetic conditions, chronic diseases, or other hereditary disorders.

Download

Medication Summary

One definite question you will be asked by any healthcare professional is what medications/supplements you are taking, the dose and how often. Download this template and document key information about your medication intake using the button below.

Download

Monthly Symptom
Tracker

A template that allows you keep track of the severity and frequency of your symptoms by month, to help uncover any triggers, trends, deteriorations and improvements.

Download

Diagnosis and Medical
Tests Timeline

As Ireland does not currently have an Electronic Health Record, your previous health data is not automatically shared between different health institutions. Having a detailed timeline of your previous diagnoses and tests can be extremely helpful to ensure your doctors have an accurate medical history.

Download

Timeline of Previous Diagnoses and Medical Tests

Consolidate your entire medical history into one template using our interactive medical summary tool

We can fill in the templates, so you don't have to.

Download our Templates

Appointment Day

A template to help ensure you obtain what you need from your long-awaited appointment. On the day, there may be a lot of information shared with you, so writing down your key focus points and taking notes will provide you with a reference sheet to consult whenever you need.

Mind Map

A template to help you deep dive into your own thoughts. Click here to go to our Reflect page, which gives a step by step suggested guide on how to get started with mind mapping.

Body Symptom Chart

A template for those with body-wide symptoms and need a visual representation of these symptoms. This is very useful for people with auto immune conditions.

Family History

A template to help you track and document your family history. Understanding familial health patterns enables doctors to assess the patient's risk for certain genetic conditions, chronic diseases, or other hereditary disorders.

Medication Summary

One definite question you will be asked by any healthcare professional is what medications/supplements you are taking, the dose and how often. Download this template and document key information about your medication intake using the button below.

Monthly Symptom Tracker

A template that allows you keep track of the severity and frequency of your symptoms by month, to help uncover any triggers, trends, deteriorations and improvements.

Diagnosis and Medical Tests Timeline

Monthly Symptom
Tracker

Diagnosis and Medical
Tests Timeline