Medical Records

What Medical Information Should You Keep Handy?

About this guide

Written by: My Medical Choice Editorial Staff

This guide is designed to help patients and families prepare for better conversations with licensed healthcare professionals. It is general educational information only and is not medical advice.

Your medical information may be spread across several doctors, pharmacies, hospitals, portals, and paper records. Keeping a small amount of essential information in one place can make appointments, emergencies, travel, caregiving, and transitions between doctors easier to manage.

The goal is not to recreate your entire chart. It is to maintain a quick, current summary that answers the questions another healthcare professional is most likely to need first.

What belongs on a one-page medical summary

Basic identification and contacts

  • Full legal name
  • Date of birth
  • Preferred phone number
  • Emergency contact and relationship
  • Preferred language and interpreter needs
  • Primary care clinician
  • Preferred pharmacy

Avoid putting unnecessary sensitive identifiers such as a Social Security number on a sheet you carry routinely.

Current medications

For each prescription and over-the-counter product, list:

  • Name
  • Strength or dose
  • How often you take it
  • Why you take it, if known
  • Prescriber, when helpful

Include vitamins, supplements, inhalers, eye drops, creams, injections, and medicines used only as needed. The FDA recommends telling pharmacists about prescription medicines, nonprescription medicines, vitamins, and supplements because they can help identify interaction or use questions.

Allergies and medication reactions

Do more than write “allergic.” When you know the reaction, record it. For example:

  • Medication name — rash
  • Medication name — swelling
  • Medication name — severe nausea

This helps a clinician distinguish a true allergy from another type of side effect or intolerance.

Major diagnoses and health history

List the conditions that matter to current care. You do not need every minor illness you have ever had. Include major chronic conditions, significant surgeries, hospitalizations, implanted devices, and other information a new clinician should know.

Important recent tests

For a general summary, you usually do not need pages of laboratory values. Record major results that are actively being followed, such as a recent imaging finding or a test connected to a current diagnosis. Keep the full report separately.

Keep copies of a few high-value records

Depending on your situation, it may be useful to have easy access to:

  • Recent specialist notes
  • Hospital discharge summaries
  • Operative or procedure reports
  • Imaging reports
  • Pathology reports
  • Important laboratory results
  • Vaccination history
  • Advance directive or healthcare power-of-attorney information

HHS explains that patients generally have a right under HIPAA to inspect and obtain copies of medical and billing records held by covered providers and plans, with limited exceptions.

Separate “carry with you” information from “store at home” information

Carry or keep readily available Store securely
Medication list Full medical records
Allergies Old imaging and reports
Major diagnoses Detailed billing records
Emergency contact Insurance correspondence
Doctors and pharmacy Advance-planning originals
Important devices or implants Long-term history documents

Paper, phone, portal, or all three?

There is no single best format. A paper copy is easy to hand to someone. A secure note or document on your phone may be easier to update. Patient portals can provide access to visit summaries, medication lists, test results, and other information.

MedlinePlus describes patient portals as tools that may let patients view visit summaries, prescriptions, test results, medical history, and other information. Portals are useful, but information may be split across systems when you see multiple organizations.

For that reason, many people find a simple personal summary useful even when they use portals.

Update the summary when something changes

A medical summary becomes less useful when it is out of date. Review it after:

  • A medication is started, stopped, or changed
  • A new allergy or reaction is identified
  • A hospitalization or surgery
  • A major new diagnosis
  • A change in doctors or pharmacy
  • A change in emergency contact or insurance

Add a “last updated” date so you and your family know how current it is.

Make the summary useful to a caregiver

If a trusted family member or caregiver may need to help in an emergency, tell them where the information is stored. That does not mean giving broad access to all of your private records. Decide what you want shared and with whom.

For formal authority to access records or make healthcare decisions, legal requirements can vary. Keep copies of any relevant healthcare power-of-attorney or advance-directive documents with your important papers.

A five-minute maintenance routine

  1. Compare your medication list with what you actually take.
  2. Check that allergies and reactions are accurate.
  3. Add any major new diagnosis, procedure, or hospitalization.
  4. Confirm doctor, pharmacy, and emergency-contact details.
  5. Update the date at the top.

Doing this after major appointments can keep the summary reliable without turning recordkeeping into a large project.

Sources and further reading

Frequently asked questions

What belongs on a medical information sheet?

Include medications, allergies and reactions, conditions, doctors, pharmacies, insurance, emergency contacts, surgeries, devices, and care-planning documents.

How often should I update it?

Update it when medications, allergies, doctors, insurance, emergency contacts, diagnoses, or care-planning documents change.

Where should I keep it?

Keep a copy somewhere easy to find and consider sharing it with a trusted family member or caregiver.