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My Health Check-in

My Health Check-in

A visit with the doctor to talk about staying healthy and well

Introduction

It is good to check in with your doctor about your health, even if you don’t feel sick. Or if you have not seen your doctor in a long time, it is also good to have a check-in. The doctor can help you stay healthy and well. The My Health Check-in tool helps to prepare for a visit with the doctor.

The form lists twelve health topics. You can choose the topics that you find important to talk about. Write down questions and bring the form to the healthcare visit. It will help remember
what you want to talk about.

You can choose to use a long form, which has a lot of space to write. Or, maybe you want to use a short form that is easy to carry around. A picture form is also available. Finally, there is information for caregivers with tips on how to use My Health Check-in.

Select the full package for download, or print the forms separately.

Download: My Heath Check-in Full Package

Download: My Health Check-in Long Form

Download: My Heath Check-in Short Form

Download: My Heath Check-in Picture Form

Download: My Heath Check-in Caregiver Guide

This form is part of a research study. Let us know how you like it!

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Research about the Health Check-in

Researchers studied how the Health Check-in tool was used by adults with intellectual and developmental disabilities and their families during the pandemic. They found that nearly half of participants used the tool to talk with their doctor, and many said it helped them feel more
prepared and confident. The study also showed the need for more support to make healthcare visits easier.

Read the full research paper (British Journal of Learning Disabilities, 2024)

Podcast: IDD Get to Know Me – Special Olympics Health Check-in Episode

In this episode of the IDD Get to Know Me podcast, co-host Melanie interviews Dr. Yona Lunsky (a researcher and clinical psychologist), Dr. Ullanda Niel (a family doctor at the Surrey Place primary care program), Heidi Mallett and Monique Shah (Special Olympics athletes), and June Shah (a coach and family member). They talk about the importance of checking in regularly with a healthcare provider and share ideas on how to get ready for appointments so each visit counts.

The My Health Check-In form was developed during the COVID-19 pandemic by the Developmental Disabilities Primary Care Program (DDPCP) at Surrey Place, Toronto, and the Azrieli Adult Neurodevelopmental Centre, CAMH, Toronto, as part of a research study (Canadian Institutes of Health Research, Operating grant FRN #EG2 179428; Addressing unmet and emerging health needs of Canadian adults with intellectual and developmental disabilities and their families during COVID-19.). See My COVID Check-in.


Study participants found the tool also useful post-pandemic and the My Health Check-in version was created with minor edits to the original My COVID Check-in tool.


The content of this tool was subject to review by clinicians, primary care providers, families, and self-advocates. This tool is developed as a guide only. Primary care providers and other healthcare professionals are required to exercise their own clinical judgement in using this tool.

  • Supporting materials

    Research about the Health Check-in

    Researchers studied how the Health Check-in tool was used by adults with intellectual and developmental disabilities and their families during the pandemic. They found that nearly half of participants used the tool to talk with their doctor, and many said it helped them feel more
    prepared and confident. The study also showed the need for more support to make healthcare visits easier.

    Read the full research paper (British Journal of Learning Disabilities, 2024)

    Podcast: IDD Get to Know Me – Special Olympics Health Check-in Episode

    In this episode of the IDD Get to Know Me podcast, co-host Melanie interviews Dr. Yona Lunsky (a researcher and clinical psychologist), Dr. Ullanda Niel (a family doctor at the Surrey Place primary care program), Heidi Mallett and Monique Shah (Special Olympics athletes), and June Shah (a coach and family member). They talk about the importance of checking in regularly with a healthcare provider and share ideas on how to get ready for appointments so each visit counts.

  • About the tool development

    The My Health Check-In form was developed during the COVID-19 pandemic by the Developmental Disabilities Primary Care Program (DDPCP) at Surrey Place, Toronto, and the Azrieli Adult Neurodevelopmental Centre, CAMH, Toronto, as part of a research study (Canadian Institutes of Health Research, Operating grant FRN #EG2 179428; Addressing unmet and emerging health needs of Canadian adults with intellectual and developmental disabilities and their families during COVID-19.). See My COVID Check-in.


    Study participants found the tool also useful post-pandemic and the My Health Check-in version was created with minor edits to the original My COVID Check-in tool.


    The content of this tool was subject to review by clinicians, primary care providers, families, and self-advocates. This tool is developed as a guide only. Primary care providers and other healthcare professionals are required to exercise their own clinical judgement in using this tool.

All rights reserved. No part of this website may be reproduced, stored in a retrieval system or transmitted in any form or by any means without the prior written permission of the copyright owner, Surrey Place. Contact the Developmental Disabilities Primary Care Program at Surrey Place at ddpcp@surreyplace.ca for permission to adapt information and tools to your local practice setting.