Patient Resources

Patient Forms

• Adult Health History Form 
• Authorization to Use and Disclose Protected Health Information 
• Patient Information Form - English 

Patient Education

• South Jordan Clinic Welcome Letter 

Web Resources

• Intermountain Healthcare Health Resources by Topic 
• IntermountainLiVE.org 
• My Health 
• Symptom Checker 

Patient Education

• Carb Counselor: Advice and Tools for Counting Carbs pocket guide 
• Diabetes Care Card 
• Diabetes Care Handbook: Living Well with 
• Diabetes Medication: Aspirin Therapy for Adults 
• Diabetes Medication: Glitazones 
• Diabetes Medication: Meglitinides 
• Diabetes Medication: Metformin 
• 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

• 8 to LiVe by Track It 
• 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 

Patient Education

• 8 to LiVe by Track It 
• 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 

Patient Education

• 8 to LiVe by Track It 
• 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 

Patient Education

• 8 to LiVe by Track It 
• 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 

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 
• Cholesterol