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My Health Record [English] Permalink Public

This booklet combines a number of blank forms and check boxes that allow you to note in great detail all aspects of your health. This is not just limited to medical history, but includes background (religion, language, eating restrictions, immunization record) and how important decisions are to be made. (English) Black & White

Catalogue Number:
Body Location:
  • Multiple Systems
Diagnosis and Therapy:
  • Complementary and Alternative Therapies
Disorders and Conditions:
  • Older Adult Health
  • Immunization,
  • Health,
  • Home,
  • Personal,
  • Information,
  • Record,
  • Geriatric,
  • Allergies,
  • History,
  • Appointment,
  • Medical,
  • Visit,
  • Geri
  • Older Adults
  • Older Adult,
  • Home Health/Specialized Populations
Revision Date:
September 22, 2023
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About Fraser Health Patient Education

This catalogue serves the people using Fraser Health programs and services in communities from Burnaby east to Hope and surrounding areas.

Our goal is to provide you with reliable information in a way that you can find what you need, understand what you find, and use it to make decisions about your health.


Patient Education
Professional Practice
Fraser Health
#400, 13450 102nd Ave.
Surrey, BC  V3T 0H1

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