PATIENT EMPOWERMENT FORMS

The more you know about CKD, the more empowered you will be. 

Research shows that education improves the quality of life for patients with CKD. The more you know about CKD, the more empowered you’ll be to make smart choices and take steps to manage your health. To help you achieve better health, we created some handy tools to educate you about CKD and your health. These tools also make it easier to plan during every stage of CKD. All Empowerment Forms are downloadable and printable and are available in both English and Spanish.

 

My Information and My

Doctors’ Contact Information

My Current

Medications

My Important

Lab Values

My Blood

Pressure Log

My Blood

Glucose Log

Summaries of

My Doctor Visits

Copy of

My Advance Directive