Family Health History Tree
The future of your health is written in the past
Knowing your family’s health history can be the key to living a longer, healthier life. By filling out this health history family tree, you can help healthcare providers identify traits that may put you at risk for certain health conditions or diseases.
None of the data you enter is stored. Please see our Privacy Policy
None of the data you enter is stored. Please see our Privacy Policy
Family Health History Tree
Knowing your family’s health history can help your healthcare provider identify traits that may put you at risk for certain health conditions or diseases.
None of the data you enter is stored. Please see our Privacy Policy.
None of the data you enter is stored. Please see our Privacy Policy.
What is a “Paternal” family member?
A relative that is related through a person’s father rather than their mother. For example, your “Paternal Grandfather” would be your father’s father.What is a “Maternal” family member?
A relative that is related through a person’s mother rather than their father. For example, your “Maternal Grandfather” would be your mother’s father.
Paternal
Paternal Grandfather
Condition(s) & age of onset:
Age:
Age of death:
Paternal Grandmother
Condition(s) & age of onset:
Age:
Age of death:
Maternal
Maternal Grandfather
Condition(s) & age of onset:
Age:
Age of death:
Maternal Grandmother
Condition(s) & age of onset:
Age:
Age of death:
Parents
Father
Condition(s) & age of onset:
Age:
Age of death:
Mother
Condition(s) & age of onset:
Age:
Age of death:
You
You
Condition(s) & age of onset:
Age:
Age of death:
Condition(s) & age of onset:
Age:
Age of death:
Additional Family Members