Quick Reference & Support Network
One page with every phone number, login, and contact you need — all in one place. Fill it in once and keep it in the front of your binder. When you need your pharmacy number, insurance member ID, or someone to talk to, you won't be scrambling through paperwork.
See it in action — healthcare team, pharmacy, insurance, medication details, emergency contacts, and online resources all in one glanceable reference sheet.
What's Included
Healthcare Team & Pharmacy
Fields for your primary provider, prescribing provider, patient portal login, pharmacy name and phone, specialty pharmacy, and Rx/refill numbers. No more digging through paperwork.
Insurance & Savings Cards
Plan name, member ID, group number, prior authorization phone, member services line, and savings card details. Everything you need when calling about coverage or filing an appeal.
Emergency Contacts & Support
Space for an emergency contact and two support people. Having someone to call when you're struggling with side effects or motivation makes a real difference.
Online Resources
Space to save your favorite communities, forums, and helpful websites. Plus a featured spot for GLPMedic.com — free education, tracking templates, and medication guides.
This is one of those pages you fill out in five minutes and then forget about — until you need it. I can't count the times I've been on hold with my insurance company, scrambling to find my member ID, my group number, and my prior auth number while the automated system asks me for each one. Having it all on one sheet in the front of my binder would have saved me a lot of frustration. Same with the pharmacy — when there's a shortage and you need to call the specialty pharmacy, you don't want to be googling their number while you're stressed about running out of medication.
How to Use This Template
- 1 Fill in your healthcare team. Primary provider, prescribing provider (if different), phone numbers, patient portal login, and your next appointment date. Update the appointment field whenever you schedule a new one.
- 2 Add your pharmacy info. Regular pharmacy and specialty pharmacy (if you use one). Include the Rx/refill number — you'll need this every time you call for a refill status update.
- 3 Record your insurance details. Plan name, member ID, group number, and both the prior auth and member services phone numbers. Add your savings card info if you have one — these can save hundreds per fill.
- 4 Write down your medication basics. Current medication, dose, injection day, start date, allergies, and other meds. This section is handy anytime a provider asks "what are you currently taking?"
- 5 Keep it in the front of your binder. This page is meant to be the first thing you see when you open your tracking binder. When you need a number fast, it's right there.
Get the Full Tracking Toolkit
This template is just one of 23. The full bundle gives you everything you need to track your entire GLP-1 journey.
Daily & Weekly
- Daily Check-In
- Weekly View
- Weekly Reflection
- Habit Streaks
Health Monitoring
- Side Effects
- Injection Sites
- Body Measurements
- Blood Work
- Sleep
Progress & Milestones
- 8-Week Tracker
- 12-Week Dashboard
- Progress Charts
- NSV Tracker
- Clothing Timeline
Nutrition & Lifestyle
- Protein Tracker
- Meal Planning
- Food Diary
- Exercise Log
- Hydration
Planning & Reference
- Appointment Prep
- Medication Supply
- Cost Tracker
- Support Network
Bonus
- Free access to every future template — as the toolkit grows, so does your bundle. No extra cost, ever.
- Request custom templates — need something specific? Reach out to Brandon and he'll build it for you.