Downloadable Headache Diaries and Patient Forms


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Downloadable Headache Diaries and Patient Forms

All our forms for your convenience are located on our website. Please follow the directions below to help you gain access to important Patient Registration and Headache Diaries.

It is important to keep headache diaries to help us diagnosis your headaches and provide appropriate treatment plans.

Fill in and print out the registration forms, consent form and headache diaries.

Print or enter daily headache scores to forms in Adobe Acrobat format (*.pdf files) or in electronic Excel spreadsheet formats.

Download the printable diary (NERHC HA diary 2008.pdf) and its instruction sheet Print them out and fill them out daily to bring to your office appointments.

Download the electronic diary (Headache Journal rev1.xls) and record your headaches daily in an Excel electronic spreadsheet. To record symptoms, highlight the daily symptoms in the checklist, hold down the CTRL key and click with the left mouse button on each symptom which you wish to highlight. Then click on the Fill Color icon, choose a color and click to select. All the selected cells will be highlighted with the chosen color. Print out the spreadsheet before your appointment and bring to the office, or bring it on a memory stick or other media. Floppy disks cannot be read in the office.


File Location: /folder

Disk Space Available:  9,261 K free    738 K used

Name


Date


Size


  consent form.doc

Sun Jan 17 2010 10:46
 42  KB
  NP registration.doc

Sun Jan 17 2010 10:46
 60  KB
  NERHC Medication History Form.doc

Sun Jan 17 2010 10:16
 37  KB
  NERHC HA Diary 2008.pdf

Tue Apr 29 2008 16:05
 85  KB
  Headache Journal rev1.xls

Tue Apr 29 2008 16:06
 154  KB


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