Health Planner2015This is a full-size PDF copy of ACP’s 2015 Senior Health Pocket Planner Calendar — 15-Month Edition

ACP’s planner meets ALL CMS guidelines for sales/marketing, communications, and health/wellness priorities.

Planner Size Closed: 4-1/4" high x 6-1/2" wide • opens to 8-1/2" x 6-1/2"

Please Note: The words “Review Copy” shown on the inside pages do not appear on the actual printed planners. This content and format copyright 2014 by American Custom Publishing. All rights reserved. This PDF may not be reproduced in any format; violators are subject to legal action.

For custom options, prices, and client samples, contact: Gary W. Ford, ACP publisher gford@acpinc.com • Phone: 1-800-828-8225 • Web: seniorcalendars.com

Your Business Card Inserted Here

This planner is designed to help you manage your health throughout the year. It contains monthly health tips, as well as charts, to record medications, health visits, and important tests and screenings.

The dates for Medicare’s annual open enrollment periods for Fall 2014 and Fall 2015 are also included in this planner.

Identification:

Name

Home Phone

Cell Phone

Address

City State Zip

E-mail

Person to Notify in Case of Emergency:

Name

Home Phone

Cell Phone

Relationship

Copyright © 2014, American Custom Publishing, Libertyville, IL 60048. All rights reserved. All information included is current as of August 2014.

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My MedicationsList Your Prescription Medications (use a pencil so you can easily update this chart)

Name of My Medication

How Much Do I Take?

When Do I Take It?

Why Do I Take It?

List Your Non-Prescription Medications and Vitamins/Herbal Supplements (Include: Pain Relievers, Allergy Medicines, Antacids, Sleeping Pills, etc.)

(Chart adapted from the U.S. Food and Drug Administration)

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Personal Health RecordHealth Visits

Health Care Professional Date Reason Result

Health Screenings & Tests Date Results

Blood Pressure . . . . . . . . . . . . . . . . .

Bone Density Measurement . . . . . .

Cholesterol . . . . . . . . . . . . . . . . . . . . .

Clinical Breast Exam . . . . . . . . . . . .

Colorectal Cancer Screening . . . . .

HbA1c (blood sugar) . . . . . . . . . . . . .

Hearing . . . . . . . . . . . . . . . . . . . . . . . .

Mammography . . . . . . . . . . . . . . . . .

Pap Smear . . . . . . . . . . . . . . . . . . . . . .

Vision . . . . . . . . . . . . . . . . . . . . . . . . . .

Vaccines (flu shot, pneumonia, and others, as recommended by your doctor)

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

5 6 7

1

8

2

9

3

10

4

11

Medicare’s annual open enrollmentperiod begins October 15th.This month is also Breast CancerAwareness Month. Are you due for a mammogram?

National Fire

Prevention Week

National Disability

Employment Awareness

Month

National Breast Cancer

Awareness Month

Yom Kippur begins at sundown

October2014

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

17

24

31

18

25

Halloween

Medicare open

enrollment period begins

Columbus Day

OCT

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

2 3 4 5 6 7

1

8

Check with your health careprofessional to see if you are at risk of diabetes. Visit diabetes.orgfor information about preventing and managing diabetes.

Daylight Saving

Time endsElection

Day

American Diabetes Month®

Alzheimer’s Disease

Awareness Month

National Home Care & Hospice

Month

American Indian Heritage

Month

National Family

Caregivers Month

November2014

9

16

23

10

17

24

11

18

25

12

19

26

13

20

27

14

21

28

15

22

29

30

Great American Smokeout

Veterans Day

Thanksgiving NOV

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

7

1

8

2

9

3

10

4

11

5

12

6

13

Medicare’s annual open enrollment period ends December 7th. Don’t forget to schedule your annual wellness visit early next year.

Medicare open

enrollment period ends

December2014

14

21

28

15

22

29

16

23

30

17

24

31

18

25

19

26

20

27

Winter begins

Kwanzaa begins

New Year’s Eve

Christmas

Hanukkah begins at sundown

DEC

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Bring this planner with you when visiting your doctor or other health care professionals. Use the chart in the front of this planner to record all of your medications. Also, list allvitamins or supplements that you take.

New Year’s Day

National Glaucoma Awareness

Month

January2015

11

18

25

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

17

24

31

Dr. Martin Luther King,

Jr. Day

JAN

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1

8

2

9

3

10

4

11

5

12

6

13

7

14

Have you had your blood pressure checked recently? For information about how to control your blood pressure, visit heart.org.

Groundhog Day

National Wear Red Day

Valentine’s Day

February2015

15

22

16

23

17

24

18

25

19

26

20

27

21

28

Presidents’ Day

American Heart Month

African American

History Month

Ash Wednesday

FEB

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1

8

2

9

3

10

4

11

5

12

6

13

7

14

March is National Nutrition Month. Visit ChooseMyPlate.gov for tips about making healthy food choices.

Daylight Saving Time

begins

March2015

15

22

29

16

23

30

17

24

31

18

25

19

26

20

27

21

28

St. Patrick’s Day Spring begins

National Nutrition Month®

Red Cross Month

Palm Sunday MAR

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

5 6 7

1

8

2

9

3

10

4

11

The American Cancer Society provides useful information on cancer prevention and screenings. Call 1-800-227-2345 (TTY: 1-866-228-4327) or visit cancer.org.

Cancer Control Month

April Fools’ Day

Good FridayPassover begins at sundown

Easter

April2015

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

17

24

18

25

Income taxes due

APR

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3 4 5 6 7

1

8

2

9

Are you interested in increasing your physical activity level? Visit go4life.nia.nih.gov for some ideas to discuss with your doctor.

Arthritis Awareness

Month

Older Americans

Month

National High Blood Pressure Education

Month

Asian-Pacific American Heritage Month

Mental Health Month

May2015

10

17

24

11

18

25

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

31Memorial

Day

Mother’s Day

Armed Forces Day

National Senior

Health & Fitness Day® MAY

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7

1

8

2

9

3

10

4

11

5

12

6

13

Feeling lonely, sad, or depressed? Your mental heatlh is important for your general well-being. Be sure to discuss these matters with your doctor or other healthcare professional. June2015

14

21

28

15

22

29

16

23

30

17

24

18

25

19

26

20

27

Father’s Day

Summer begins

1st Day of RamadanFlag Day

JUN

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2

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Need information about disability- related programs, services, laws, and benefits? Visit disability.gov for useful resources.

Independence Day

July2015

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

17

24

31

18

25

25th Anniversary

of the Americans

with Disabilities Act JUL

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8

Do you have a chronic condition like arthritis, diabetes, or heart disease?Be sure to see your doctor regularly and carefully follow all instructions.

National Immunization Awareness

Month

August2015

9

16

23

10

17

24

11

18

25

12

19

26

13

20

27

14

21

28

15

22

29

30 31 AUG

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Are your immunizations current?Be sure to ask your doctor aboutgetting a flu shot and whether you may need any other immunizations.

Labor Day Patriot Day

Prostate Cancer

Awareness Month

National Cholesterol Education

Month

September2015

13

20

27

14

21

28

15

22

29

16

23

30

17

24

18

25

19

26

National Hispanic Heritage Month

(9/15-10/15)

National Falls Prevention

Awareness DayAutumn begins

National Women’s Health & Fitness Day®

National Grandparents

DayRosh Hashanah

begins at sundown

SEP

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

4 5 6 7

1

8

2

9

3

10

Medicare’s annual open enrollmentperiod begins October 15th.This month is also Breast CancerAwareness Month. Are you due for a mammogram?

National Fire

Prevention Week

National Disability

Employment Awareness

Month

Breast Cancer

Awareness Month

October2015

11

18

25

12

19

26

13

20

27

14

21

28

15

22

29

16

23

30

17

24

31

Halloween

Medicare open

enrollment period begins

Columbus Day

OCT

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SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

1

8

2

9

3

10

4

11

5

12

6

13

7

14

November is National Family CaregiversMonth. Are you caring for a family member? Visit www.thefamilycaregiver.org for a variety of resources to help you with your caregiving responsibilities.

Daylight Saving

Time endsElection

Day

Veterans Day

November2015

15

22

29

16

23

30

17

24

18

25

19

26

20

27

21

28

Great American Smokeout

Thanksgiving

American Diabetes Month®

Alzheimer’s Disease

Awareness Month

National Home Care & Hospice

Month

American Indian Heritage

Month

National Family

Caregivers Month

NOV

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6 7

1

8

2

9

3

10

4

11

5

12

Medicare’s annual open enrollment period ends December 7th. Enjoy the holidays. Have a safe, healthy, and happy new year!

Medicare open

enrollment period ends

December2015

13

20

27

14

21

28

15

22

29

16

23

30

17

24

31

18

25

19

26

Winter beginsKwanzaa begins

New Year’s Eve

Christmas

Hanukkah begins at sundown

DEC

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JANUARY FEBRUARY MARCH APRIL MAY JUNE

JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER

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