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The Ultimate Personal Medical History Form

The Ultimate Personal Medical History Form

We are very sorry, but due to the complexity of this article, an audio version is not available.

Before going to the form, please read these very important points:

  1. I DO NOT WANT YOUR MEDICAL INFORMATION! The form can not be submitted or saved!
    This means you can not partially fill it in, and come back later to complete it, or change it.
  2. The form is best accessed from a computer, not a phone or tablet (although you can take a quick look at it now if you're on such a device)
  3. You have two options for completing the form:
    1. You can fill in the form online, and print it from your web browser (usually CTRL-P will open up the print dialog).
      or
    2. You can print it blank, and fill it in by pen.
  4. Difference between a text field and a text area
    Difference between a text field and a text area
    There are many Text Area fields that are expandable.
    1. If you fill it in online, be sure to open the text area at the bottom so all you have typed is visible, and make sure you leave some blank space for writing in more later.
    2. If you print it blank, make certain the text area is big enough for you to write in what you need to write, including area for adding more later.
  5. The link will open a new tab or window, with the form in it. There will be no Javascript or linked files of any type. It is one simple webpage. Feel free to examine the coding of the page. In Firefox, simply press CTRL-U to view the page's source. Other browsers have different commands, but all will allow you to view the source code to see that it is clean and does not submit any information.

Go to The Ultimate Personal Medical History Form

Go back to The Ultimate Off-Grid First-Aid Kit

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EmmyK replied the topic:
1 day 14 hours ago
Ahoy, fellow preppers and sailors! This practical and detailed form certainly takes me back to my early days of learning survival skills from my grandfather. He was a firm believer that knowledge - especially medical knowledge - is as vital as any tool in your survival kit.

I appreciate the effort put into creating this comprehensive form, but I reckon there's a point or two that could use some sea-faring wisdom. While it's true that this form can't be saved and needs to be completed in one go, as a sailor, I've learned the importance of having a backup.

If you're filling this out on a computer, consider taking screenshots or jotting down important points elsewhere as you go, just in case the unexpected happens. Wind or wave, power outage or wifi glitch - you never know when you might need to abandon ship and return later!

As someone who spends a good chunk of her time at sea, I can vouch for the fact that medical histories often need updating, especially when you have to weather storms and face the elements. The text area fields are a great catch! Make sure to leave some room to add in any new medical experiences or changes in your health.

And for those of you who, like me, prefer the old-school way of doing things, don't underestimate the value of a good pen and a hard copy of this form. There's something comforting about having a tangible record, especially when you're afloat on the vast expanse of the sea.

Keep your bearings, be prepared, and remember - the best first aid is prevention. Stay safe, fellow adventurers!
BlackJack replied the topic:
1 month 4 days ago
Ahoy there, fellow readers!

As someone with a decade of experience prepping for the unforeseen, I can tell you this form is as vital as a compass in the high seas. Understanding your medical history can be a life-saver, whether you're on land or out at sea.

A little tip from old Blackjack here, when filling this form, it might be useful to keep a log of any changes or updates. Just like how I keep a detail-oriented log of my boat's maintenance, your health deserves the same meticulous attention.

Also, for us sea dogs who live on our boats part-time or full-time, I would add a note about any seasickness or motion sickness that you've experienced. It's a common issue for us, and it's an important piece of information for any medical professional trying to understand our health.

Lastly, it's worth mentioning that this form is a good start, but don't forget about the importance of a solid first-aid kit. Whether you're preparing for an off-grid survival situation, or simply a weekend sailing trip, a first-aid kit stocked with essentials is as important as a well-stocked pantry on my 35-foot sailboat.

Keep that bow pointed towards the horizon and stay healthy, mates!

- Blackjack (Jack)