WORKSHEETS

Use our printable worksheets to get organized and to keep track of important information.

We are excited to provide you with resource material that may be useful in your journey with vasculitis. It represents many hours of searching for the best information and resources, some of the materials we developed and some we were able to use with permission.

Please understand that these resource materials are merely to be used as tools to help manage. They are not meant to be a substitute for professional advice and services rendered by qualified doctors, allied medical personnel, and other professional on your health team. The responsibility for any use of this information, or for proper medical treatment, rests with you and your physician.

Note: You can use the worksheet to create binder so that all your information in one place. Alternatively, you can use them as you see fit.

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Medical History

The more information you can provide your healthcare team the better. Before your first visit with your specialist, fill out this worksheet so you have all the information you need including medications, and family history information. Take the sheet with you to all your appointments in case you need to recall any specifics such as a date of surgery or dosage of medication. Download it here.

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Health Care Team Contact List

As a vasculitis patient, your healthcare team is probably made up of several doctors and other health professionals. Use this contact list to keep all your important names, numbers, and emails in one place. Download it here

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Medication Log

Taking your medications as prescribed by your doctor is very important. Use this medication log to make sure you don’t miss a dose. Download it here.

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Tips for Medication

To ensure that you stay on track, you can use these tips to help you manage your medications

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Immunization

You probably received some immunizations as a child. However, you will probably need other immunizations. Ask your healthcare team which immunizations you need and which are not appropriate for you. We have provided a list of immunization that you and your doctor can review. Once you and your doctor decide you need to update your immunization, you can use this chart to keep track of your immunization record.

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