Patient Resources

Patient Forms

• Adult Health History Form 
• Patient Information Form - English 

Patient Education

• Full Service Pharmacies at Intermountain Clinics 
• What's in a Vaccine? (by Brooke Drollinger, MD) 

Web Resources

• Advance Care Planning 

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 Forms

• Adult Mental Health Baseline Evaluation Packet 
• Child Mental Health Evaluation Packet 

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

• Personalized Primary Care handout 

Web Resources

• Introduction to Personalized Primary Care at Intermountain Healthcare 
• My Health 
• Symptom Checker