Personal Health Record (PHR)


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Long Term Care Coordinating Council (LTCCC)
703-324-2051, TTY 711
ltccc@fairfaxcounty.gov

Mailing Address:
Fairfax County Government Center
12000 Government Center Parkway, Suite 561
Fairfax, VA 22035

Staff Contacts:
Bob Eiffert, LTCCC Program Manager, 703-324-2544
Patricia Rohrer, LTCCC Facilitator, 703-324-2051

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LTCCC in Action

Elderly couple smilingThe key to better health is patient empowerment. Although there are several ways to be involved in your health care, one of the easiest is using a personal health record (PHR). A PHR can be a simple form with your important medical information. This information may include current medications, your medical history, surgeries and tests. In order for your PHR to help you, it must be maintained and updated by you on a regular basis.

Why is this so important?

  • A PHR can save you money and time if it prevents duplicate tests.
  • It can protect you from problems with medications, allergies and certain procedures.
  • Most importantly, having this information can help you get help more quickly in an emergency.

A PHR can collect all your health information in a single system. It can be as simple as a paper form or can be a phone application, be web-based or be maintained on your computer or tablet. You choose the method. If you do an Internet search using the terms “personal health record,” you will find that there are many organizations and sites that sponsor free access to electronic or paper personal health records.

As a public service for residents of the Fairfax community, Fairfax County’s Long Term Care Coordination Council developed an accessible and downloadable PHR in PDF format that is designed for ordinary inkjet or laser printers and can be printed either single-sided or double-sided. The LTCCC welcomes and encourages local community groups and employers to download, reproduce, and disseminate our PHR to wider audiences.

Download the Personal Health Record (PHR) template. PDF icon
Download a PHR customizable to your organization. PDF icon


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