Use this record to write down the date you receive the tests and the results. Try to remember to bring it with you each time you see a doctor.
This record will also help you keep track of when you need your next test or checkup.
| Checkup/Test | Date/Results | |||||
| Blood Pressure | ||||||
| Blood Sugar | ||||||
| Bone Density | ||||||
| Cholesterol | ||||||
| Dental Visits | ||||||
| Hearing | ||||||
| Tuberculosis | ||||||
| Vision | ||||||
| Weight | ||||||
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Pocket Guide to Staying Healthy at 50+
