Download My personal health record - Blue book PDF

TitleMy personal health record - Blue book
LanguageEnglish
File Size3.7 MB
Total Pages137
Document Text Contents
Page 1

My personal health record

This is the personal health record of:

please take this book with you when you
attend any health service, doctor or hospital

Make sure the whole
family is up to date

with their immunisations

Page 2

This health record was compiled with the assistance of parents,
child and family health nurses, general practitioners, other health

professionals and professional and consumer organisations.
It is an update of previous versions of the Personal Health Record

which has been used in NSW since 1988. 

NSW MINISTRY OF HEALTH
100 Christie Street
ST LEONARDS NSW 2065
Tel. (02) 9391 9000
Fax. (02) 9391 9101
TTY. (02) 9391 9900
www.health.nsw.gov.au

This work is copyright. It may be reproduced in whole or in part for study
or training purposes subject to the inclusion of an acknowledgement
of the source. It may not be reproduced for commercial usage or sale.
Reproduction for purposes other than those indicated above requires
written permission from the NSW Ministry of Health.

© NSW Ministry of Health 2019

SHPN (HSP) 190234
ISBN 978-1-76081-127-3 (print)
ISBN 978-1-76081-128-0 (online)

July 2019

Page 68

63

Health protective factors Yes No Concerns No
concerns

Parent questions completed?

Age appropriate immunisation
completed as per schedule?
(Hep B only)

Are there any risk factors?
Hearing
Vision
Hips
Oral Health

Outcome Normal Review Refer



Appropriate health information discussed? Yes No

Comments



Action taken

Name of doctor or nurse

Signature

Venue Date of check / /

Page 69

6


8
w

e
e

k


ch
e

ck

6 – 8 week check

Page 137

SHPN (HSP) 190234

EMERGENCIES

Emergency (Ambulance, Fire or Police) .............................000
For emergency phone using a mobile phone
please check with your mobile service provider

Poisons Information ...............................................................13 11 26

HELPLINES AND ADVICE

healthdirect Australia ...........................................1800 022 222

Karitane .......................................................................1300 CARING
(1300 227 464)

Tresillian Family Care Centres ......................1300 2 PARENT
Free call outside Sydney metro area (1300 272 736)
Sydney metro area .................................................. (02) 9787 0855

Australian Breastfeeding Association ...1800 mum2mum
Free call from landlines .............................................1800 686 268

Perinatal Anxiety and Depression Australia (PANDA)
www.panda.org.au ........................................... 1300 726 306

Translating and Interpreting Service ...........................13 14 50

Child Protection Helpline .....................................................13 21 11

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