Free printable guide
Home-Safety Planning After a Health Change: Printable Guide
A way to record what changed in a daily task and prepare a clear summary for a clinician, therapist, or care team.
Open printable PDFWhy this matters
A stroke, a fall, or a hospital stay can change ordinary tasks overnight. Careful notes about what changed help a doctor or therapist understand the practical problem.
Simple, safe changes at home can reduce risk in the meantime, without guessing at medical answers.
Inside the printable
What this guide helps you do
- Noticing which daily tasks have become harder, and when
- Making safe changes to routes, lighting, and reach
- Asking practical questions before leaving the hospital
- Preparing questions for the care team
- Keeping a daily observation log
- Reviewing the home after each new piece of advice
Official contacts in this guide
Free public and nonprofit services. No affiliate links. Numbers checked September 2026; confirm hours on each official website.
- Eldercare Locator Connects you to your local Area Agency on Aging. 1-800-677-1116 (call or text)
- National Institute on Aging: Preventing Falls Room-by-room fall prevention at home
- Medicare 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048