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    Life History form
ABOUT—My Journey

Carol L. Bluestein: Parent/Patient Life History Form

The Parent/Patient Life History Form gives Doctors, Nurses, Aides and Caregivers the opportunity to know your parent or loved one or YOU as more than just a sick body—as an accomplished individual, to be treated with dignity and respect. Please download it, fill it out and keep it with every person's Health Care Proxy and Power of Atty. You'll have to bring these with you to the hospital or nursing home. And, make extra copies. You'll be surprised how often you'll need it.

adobe pdf CaringForMom -- My story

Patient Personal Life History Form (shown below) FREE DOWNLOAD


Carol L. Bluestein CONTACT Information • • PO Box 238, Slingerlands, NY 12159 • *518-369-2866
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