Many of us have experienced
problems in getting adequate and respectful care in emergency rooms and
urgent care facilities. Hopefully, these forms will help establish our
diagnosis and provide other information that will make these visits
less unpleasant and more helpful.
Physician form verifying migraine diagnosis and providing basic patient information. To be reproduced on your physician's letterhead:
- Printable version, Migraine
- Printable version, Cluster Headache
- Microsoft Word for Windows version for download, Migraine
- Microsoft Word for Windows version for download, Cluster Headache
- Microsoft Word for Mac version for download, Migraine
- Microsoft Word for Mac version for download, Cluster Headache
Patient form for registration
information, rating pain, and listing meds already taken:
- Printable version, Migraine
- Printable version, Cluster Headache
- Microsoft Word for Windows version for download, Migraine
- Microsoft Word for Windows version for download, Cluster Headache
- Microsoft Word for Mac version for download, Migraine
- Microsoft Word for Mac version for downloading, Cluster Headache
