Personal Health Care Plan – Family History

Genetics provide significant clues about inherited illnesses, so start by recording your family history. The list should include your Mother and Father, siblings, Grandparents, and your related Aunts and Uncles. For each entry record their relation, name, birth date, sex and significant health care issues or events. You can copy and paste from the following.

 

Family History

    (Name), birth date, male, alive / deceased on ____. List conditions

  • Father.
  • Mother.
  • Brother.
  • Sister.
  • Father’s side
    • Grandfather.
    • Grandmother.
    • Aunts
    • Uncles
  • Mother’s side
    • Grandfather.
    • Grandmother.
    • Aunts
    • Uncles