Patient Medical Questionnaires:
During your last visit, when your health care provider asked you about your concern, did you have difficulty answering his/her questions?
The following forms may facilitate your future visit(s).
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How to use the forms:
Please use only one form per visit. Your visit time is limited. You are concerned about your problem and you want your physician to focus his/her attention on it.
Please print the form that is the most appropriate for your problem. Fill it out at your leisure. Take it with you on your visit or fax/e-mail the form to your doctor’s office.
Please contact your doctor's office if you have any medical question!