Teal cover reading Caregiver Binder: Care contacts, Daily log, Appointments, Medication record, with a tablet showing the first Daily log page.
  • Teal cover reading Caregiver Binder: Care contacts, Daily log, Appointments, Medication record, with a tablet showing the first Daily log page.
  • Twenty-three page thumbnails in three rows labelled Cover, Contents, The person, Contacts, Helpers, Log 1 to Log 7, Visits, Questions, Meds, Given, Readings, Supplies, Benefits and Handover.
  • Daily log: sheet 1 of 7, with sample entries for food and drink, how the day went, and boxes for news for the care team and the next person on shift.
  • Medication record: 1 of 2 page with columns for name on the label, amount, when, prescribed by, pharmacy, started and stopped, and three sample rows.
  • Medication given: week 1 page, a grid of medicine and time against Mon to Sun with sample initials in the first rows.
  • Appointments: 1 of 2 page with columns for date and time, with, where, taken by and why and what was said, and three sample rows.
  • Care contacts page listing Main doctor, Specialist, Pharmacy, Hospital and other roles with Name, Phone and Hours or note columns, some with sample entries.
  • Two boxes, US Letter and A4, each with 23 pages and 1,285 fields, with notes that it gives no medical guidance and that no PDF app has been tried.

Caregiver Binder

Not medical or legal advice. This caregiver binder is for someone looking after a relative who wants one place for the day-to-day record. Page 3 holds what a new helper must know first, allergies included. Care contacts has 16 rows. The Daily log has seven sheets for sleep, meals, mood and getting around, with a box for the next person on shift. Appointments has 32 rows, and Medication record has 32 rows copied from the label. Medication given covers two weeks, with initials for each day. Insurance and benefits asks for the last 4 digits of each ID number, and page 23 is a Handover for a relief helper. The forms give no medical guidance.

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Fillable PDF, Letter and A4. A script typed into all 1,285 fields and read them back. No PDF app, such as Acrobat Reader or Preview, has been tried, nor a test print.

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What's included

  • Caregiver-Binder-Letter.pdf, 23 pages
  • Caregiver-Binder-A4.pdf, 23 pages
  • Start-Here-Caregiver-Binder.pdf, how to fill it in, save it and print it

How it works

  1. Twenty-three page thumbnails in three rows labelled Cover, Contents, The person, Contacts, Helpers, Log 1 to Log 7, Visits, Questions, Meds, Given, Readings, Supplies, Benefits and Handover.
    Twenty-three pages The person, Contacts, Helpers, seven Log sheets, Visits, Questions, Meds, Given, Readings, Supplies, Benefits and Handover.
  2. Daily log: sheet 1 of 7, with sample entries for food and drink, how the day went, and boxes for news for the care team and the next person on shift.
    Seven daily log sheets Sleep, meals, drinks, mood, getting around, and boxes for news for the care team and for the next person on shift.
  3. Medication record: 1 of 2 page with columns for name on the label, amount, when, prescribed by, pharmacy, started and stopped, and three sample rows.
    A medication record Name and amount copied from the label, when, who prescribed it, pharmacy, started and stopped. 32 rows, no medical guidance.
  4. Medication given: week 1 page, a grid of medicine and time against Mon to Sun with sample initials in the first rows.
    What was given, by day Two weeks of sheets. Each medicine and time has a box for initials, Monday to Sunday.
  5. Appointments: 1 of 2 page with columns for date and time, with, where, taken by and why and what was said, and three sample rows.
    Appointments Thirty-two rows for when, with whom, where, who took them and what was said.
  6. Care contacts page listing Main doctor, Specialist, Pharmacy, Hospital and other roles with Name, Phone and Hours or note columns, some with sample entries.
    Care contacts Sixteen rows from the main doctor to a neighbor with a key. Who is printed and you type the rest.

Compatibility and file formats

Fillable PDF with form fields. Page sizes in the files: US Letter 612 x 792 pt and A4 595 x 842 pt. Each size has 1,285 fields. Tested by scripts only: a script typed into every field through PDFium's form engine, saved the file, reopened it and read each entry back with two PDF libraries (pikepdf and pypdf). It also drew the saved file with PDFium and poppler and found each entry on the page. Not tested: no PDF app has been tried, including Adobe Acrobat Reader, Preview and web browsers, so opening, typing and saving in an app is untested. It has not been test-printed on a real printer. Fields use a Western font: accented letters such as é and ñ were typed and read back in that script, and other alphabets were not tested.

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Video

Questions

Does it tell me what doses to give?

No. It gives no medical guidance. You copy each line from the label or the prescriber's list, and the care team remains the place for questions.

What happens after the seven daily sheets?

Save a copy under a new name for each new week, or print the blank file and write by hand.

Not medical or legal advice. This file gives no medical guidance and does not replace a doctor, nurse or pharmacist. You are responsible for what you enter and for keeping it private. Digital files cannot be returned once downloaded; if a file does not open or a link is broken, send a message through Etsy. License: for your personal use only. No resale or sharing of this file. AI helped write the listing text, the how-to text, the printed labels and the code that builds this file. Scripts tested: the 1,285 fields, that every field name is unique, typing into every field and reading it back after a save, a second save, the Tab order, every contents link and back link, the line Not medical or legal advice on every page, a scan of every page for legal steps and medical guidance, ink near the page edge and text overflow. No person is claimed to have checked it unless stated here.