This tool will help you to create a document that you can bring to your doctor's office to help at your visit.
Before visiting your doctor, fill out this guide, print it, and bring it to the visit.
How to use this tool:
- Answer the questions below and fill out the appropriate areas.
- Print your responses.
- Bring your printed response page to your doctor's appointment.
My symptoms
Select all that apply and enter any additional symptoms in the spaces provided: