Blank Templates

Click on the links below to find blank templates of the charts, checklists and exercises found in the Handbook.

• Exercise: what role will you play?
• Checklist: partners in care
• Checklist: schedule of daily care activities
• Medication chart
• Meal planning chart
• To-do checklist: how friends and family can help
• Checklist: discharge planning
• Checklist: caregiver stress assessment
• Exercise: creating a self-care plan
• Exercise: after caregiving
• Checklist: information about you and your care recipient
• Checklist: frequently called numbers