Patient Resources

Patient Forms

• Adult Health History Form 
• Patient Information Form - English 

Patient Education

• Abscess Care 
• Boosting Calories and Protein 
• Full Service Pharmacies at Intermountain Clinics 
• Get in Shape for the Epic Utah Winter (by Dr. Chris Bell) 
• Low Back Pain 
• Preventive Services 
• Summer Safety Tips (by Dr. Stephen Aird) 

Web Resources

• 2-1-1 Information and Referral 
• Cancer Learning Center 
• Intermountain Healthcare Health Resources by Topic 
• My Health 
• Personalized Primary Care 
• Symptom Checker 
• Tobacco Free Utah 

Patient Education

• Asthma: Breathing Easier booklet 
• Asthma: Breathing Easier booklet - How to Use a Nebulizer 
• Asthma: Breathing Easier booklet - Symptoms and Triggers 
• Asthma: Breathing Easier booklet -How to Use a Press and Breathe 
• Quitting Tobacco: Your journey to freedom 

Patient Education

• BP Basics: What You Need to Know to Manage Your Blood Pressure booklet 
• BP Tracker: A Tool for Keeping Track of Your Blood Pressure 

Patient Education

• Colds and Coughs: Managing Viral Infections 

Web Resources

• CDC Seasonal Influenza (Flu) 

Patient Education

• I Was Just Born with It (by Dr. Lori Ramirez) 
• Photodynamic Therapy (PDT) 
• Sun Protection: A year-round issue in Utah (by Dr. Lori Ramirez)  

Web Resources

• DSPD (Division of Services for People with Disabilities) 
• Family to Family Network 
• Utah Family Voices 
• Utah Medical Home Portal 
• Utah Parent Center 
• Utah Parent Center Training 

Patient Education

• Carb Counselor: Advice and Tools for Counting Carbs pocket guide 
• Diabetes Care Card 
• Diabetes Care Handbook: Living Well with 
• Diabetes First Steps After Diagnosis 
• Diabetes Medication: Aspirin Therapy for Adults 
• Diabetes Medication: Glitazones 
• Diabetes Medication: Meglitinides 
• Diabetes Medication: Sulfonylureas 
• Diabetes Medications: Glucagon 
• Diabetes Medications: Insulin 
• Food Finder and Meal Plan Basics handout 
• Gestational Diabetes 
• Gestational Diabetes Meal Plan 
• Pre-diabetes: Act Now to Protect Your Health 

Patient Education

• Ear Infections 
• Thyroid Nodules: A Common Condition Clarified (by Dr. Alexander Ramirez) 

Web Resources

• Billing & Financial Assistance 
• CHIP: Children's Health Insurance Program 
• Social Security: Apply for Children's Disability Benefits 
• Utah Medicaid 

Patient Education

• BP Basics: What You Need to Know to Manage Your Blood Pressure booklet 
• BP Tracker: A Tool for Keeping Track of Your Blood Pressure 
• High Blood Pressure and the DASH Diet 

Patient Education

• ADHD Attention Deficit Hyperactivity Disorder handout 
• Anxiety Disorders handout 
• Autism and Related Disorders handout 
• Bipolar Disorder handout 
• Depression handout 
• Mental Health and a Healthy Heart 

Web Resources

• Allies with Families 
• Children and Adults with Attention Deficit Hyperactivity Disorder (CHADD) 
• Depression and Bipolar Support Alliance 
• NAMI Utah (National Alliance on Mental Illness) 

Patient Education

• Boosting Calories and Protein 

Web Resources

• ChooseMyPlate Food Guidance System 
• Eating Right 
• Nutrition.gov: Smart Nutrition Starts Here 

Patient Education

• Child safety 
• Child safety seat guidelines 
• Child safety seat guidelines Spanish 

Web Resources

• Child Health & Safety Information 
• KidsHealth 
• Zero to three from the National Center for Infants, Toddlers and Families 

Patient Education

• LiVe Well 20 Habits for Everyday Health 
• LiVe Well 20 Habits for Everyday Health spanish 
• LiVe Well: Weigh to Health booklet 
• LiVe Well: Weigh to Health Lifestyle Management Program brochure 
• Weigh to Health booklet (Spanish) 
• Weigh to Health Habit Tracker 

Web Resources

• BMI Calculator - Adult 

Patient Education

• 8 to LiVe by Habit Builder (Spanish) - 11 x 17 double spread 
• 8 to LiVe summary sheet (Spanish) - front page only no copyright 
• LiVe Just be Active poster 
• LiVe Just be Active Poster (Spanish) 
• LiVe Well: 8 to LiVe By booklet 
• LiVe Well: 8 to LiVe By Habit Builder - 11 x 17 double spread 
• LiVe Well: 8 to LiVe By Habit Builder - front/back 

Web Resources

• BMI Calculator - Kids & Teens 
• IntermountainLiVE.org