Mother • 80 years old
Born March 15, 1945
Address
123 Oak Street, Springfield, MA 02101
Phone
(617) 555-0198Primary Physician
Dr. Sarah Johnson
Insurance
Medicare Part A & B
1234-56-7890A
Emergency Contact
Jennifer Smith (You) - (617) 555-0100
Care Days (Week)
5
Care Days (Month)
20
AFC Level
Level 1
$25/day
Active Medications
4
Type 2 Diabetes
ControlledDiagnosed: 2015
Hypertension
ControlledDiagnosed: 2012
Arthritis
ManagedDiagnosed: 2018
Osteoporosis
MonitoredDiagnosed: 2020
Penicillin
Sulfa drugs
Shellfish
Friday, Dec 26
Level 1Personal Care & Activities
Caregiver: You
Saturday, Dec 27
Level 1Doctor Visit Support
Caregiver: You
Sunday, Dec 28
Level 1Errands & Companionship
Caregiver: You
Jan 20, 2026 at 10:00 AM
Dr. Sarah Johnson
Regular Checkup
Springfield Medical Center
Feb 5, 2026 at 2:00 PM
Dr. Williams (Podiatry)
Foot Care
Foot & Ankle Clinic
Mar 10, 2026 at 9:00 AM
Springfield Lab
Blood Work
Medical Plaza Lab