The Chronic Care Passport is a patient-held card used by patients with CNCDs such as diabetes, hypertension and chronic obstructive pulmonary disease. The Chronic Care Passport includes healthy lifestyle advice on nutrition, physical activity and toxic habits as well as preventive measures for cervical, breast and prostate cancer. It also contains a summarized meal plan with a food exchange list. The Care Plan in the Passport’s central page itemizes a complete list of laboratory tests, health exams and self-management education issues for the main chronic diseases i.e. diabetes, hypertension, hypercholesterolemia and obesity. The Care Plan lists a series of clinical standards coming from international evidence-based guidelines and protocols for all enumerated laboratory tests and exams including the Global Cardiovascular Risk evaluation. The Passport has spaces for establishing targets with patients and record the results obtained during different patient visits. It was designed for the first level of care but can be used or adapted to  other settings. The Health Professional Brochure contains instructions and explanations of how to complete and use the Chronic Care Passport. The Chronic Care Passport emerged from PAHO’s technical collaboration with many Member States.