Posted 7/9/2010 8:47 PM (GMT 0)
Is this what you are looking for???? It is quoted from WAY down the list of posts in Lupus Resources AlwaysRosie said... How to get the most out of a short Dr. visit. Symptom List This sheet should be typed carefully on your computer and then updated for each appointment. It takes a fair bit of time to make the first one, but then you can just update it for each following Doctor appointment. You'll always take two copies with you, so you can hand one to your Doctor. Most doctors love it because they can get caught up very quickly with this list and they will usually keep it with your file so they don't have to re-write every item. You can keep your extra copy in your wallet in case of an emergency, you'll have all your medical info handy. _________________________________________________________________ Date Your Name Address Telephone Number PCP Name Address Telephone Number List Each Doctor Address Telephone Number Allergies: List all meds you allergic to Prescript ion Meds: list each med and dose . . . spell correctly!! . . . example: Hydroxychloroquine Sulfate 200mg 2/day Ibuprofen 600 mg 3-4x/day Synthroid 50 mg/day Panlor SS 32mg as needed OTC and Supplements list each item and the strength and dose What I want Dr. _____ to do for me today: Summarize Symptoms since last visit: make a complete list of ALL current symptoms Questions: List your questions here ________________________________________________________________