“Juggling Cystic Fibrosis” Starter Kit
This kit contains one black 3 ring (8 ½ x 5 ½) one-inch wide
binder, section dividers, as well as the following pages.
Except where noted by (/) or the word (sets), sheets are
identical front and back.
Personal Information
|
1
|
Insurance Information
|
1
|
Dr. List/ Pharmacy Info.
|
1
|
Immunization Record
|
1
|
Baseline Information
|
4
|
CPT Schedule
|
2
|
Suggested Diet
|
2
|
Current/ Tentative Meds
|
10
|
School Information
|
1
|
School Absences
|
1
|
Appointment Schedule
|
3
|
Height and Weight
|
2
|
Vision Exams
|
1
|
Dental Exam
|
1
|
Visit Records (sets)
|
8
|
Culture Records
|
1
|
Drug History
|
5
|
Antibiotic History
|
4
|
Enzyme History
|
1
|
Pulmonary Function History
|
3
|
Vitamin History
|
1
|
Past Medical History
|
2
|
Surgical and Hosp. History
Feeding Tube Information
|
2
1
|
Equipment Information
|
1
|
Supply Information
|
1
|
Illness Records
|
4
|
Problem Plan
|
2
|
Times to Remember
|
1
|
Emergency Room Visits
|
6
|
Treatment and Procedures
|
4
|
Hospital Journal (sets)
|
10
|
Surgical Records
|
2
|
Hospital Discharge Inst.
|
2
|
Childcare for Siblings
|
1
|
Doctor Phone List
|
1
|
Resource Phone List
|
1
|
On-Line Resources
|
1
|
Family & Friends Phone List
|
2
|
Contact Log
|
3
|
Notes
|
2
|
|
Juggling Cystic Fibrosis
Journals for Cystic Fibrosis
Copyright (c) 2000 The Little Acorn.