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Applying for PIP - Men reading

PIP - diary template (Word)

You may find this Word template useful to fill in as a log of your symptoms. The diary can be very helpful to refer to during your PIP assessment.

You can use this diary to record:

  • activities like, cooking, eating and washing
  • managing therapies
  • medication
  • meeting people and planning journeys

You can print off as many of these sheets as you like to fill in by hand or fill in electronically. 

Read our claiming Personal Independence Payment (PIP) booklet

PIP - diary template (Word)

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