PATIENT INFORMATION
Today’s Date______
Name: Last:______First:______MI:______Sex M F
Date of Birth:_____/_____/_____ Age:______Social Security #______
Phone: Home:______Cell:______Work:______
E-Mail Address:______
Mailing Address:______City:______St:______Zip:______
Emergency Contact:______Phone:______
Relationship:______
Physicians Information-Important, please complete:
Referring Physician:______Phone: ( )______
Address:______City:______St:______Zip:______
IF DIFFERENT FROM ABOVE
Primary Care Physician:______Phone: ( )______
Address:______City:______St:______Zip:______
INSURANCE INFORMATION
Primary Insurance Name______
Insurance Subscriber______Date of Birth______
Relation to Subscriber______Policy Number______Group Number______
Effective Date______Policy Holder’s Employer______
Secondary Insurance Name______
Insurance Subscriber______Date of Birth______
Relation to Subscriber______Policy Number______Group Number______
Effective Date______Policy Holder’s Employer______
Worker’s Comp/Auto______
Case Manager/ Nurse: Name______Phone:______
Case Number:______
Send Bills to: Name______
Address: ______
______
______
SYMPTOMS for conditions you currently have or have had in the past ONE year.
GENERAL EYE, EAR, NOSE, THROAT PSYCHIATRIC
Chills / Y N / Difficulty Swallowing / Y N / Disturbing Thoughts / Y NFever / Y N / Vision-flashes / Y N / Memory Loss / Y N
Dizziness / Y N / Sinus Problems / Y N / Psychatric Disorders / Y N
Fainting / Y N / Nosebleeds / Y N / Hallocinations / Y N
Depression / Y N / Persistent Cough / Y N / NEUROLOGICAL
Forgetfulness / Y N / Loss of Hearing / Y N / Loss of Consciousness / Y N
Headache / Y N / Ringing in Ears / Y N / Blackouts / Y N
Loss of Sleep / Y N / Coughing Blood / Y N / Fainting / Y N
Loss of Weight / Y N / Tremors / Y N
Nervousness / Y N / Head Injury / Y N
Numbness / Y N / Strokes / Y N
MUSCLE/JOINT/BONE
Pain, weakness,
numbness in: / GASTROINTESTINAL / CARDIOVASCULAR
Arms / Y N / Hips / Y N / Appetite Poor / Y N / Chest Pain / Y N
Back / Y N / Legs / Y N / Bloating / Y N / Irregular Heart Beat / Y N
Feet / Y N / Hands / Y N / Bowel Changes / Y N / Low Blood Pressure / Y N
Neck / Y N / Shoulder / Y N / Constipation / Y N / High Blood Pressure / Y N
Back Problems / Y N / Diarrhea / Y N / Poor Circulation / Y N
Muscle Cramps / Y N / Excessive Thirst / Y N / Rapid Heart Beat / Y N
Restricted Motion / Y N / Loss of Bowel Control / Y N / Swelling of Legs / Y N
Muscle Stiffness / Y N / Hemorrhoids / Y N / Varicose Veins / Y N
Joint Stiffness / Y N / Indigestion / Y N / Short of Breath / Y N
Paralysis / Y N / Nausea / Y N / Short of Breath-Sleeping / Y N
Rectal Bleeding / Y N / Short of Breath-Exertion / Y N
Stomach Pain / Y N / Short of Breath-Lying Flat / Y N
Vomiting / Y N / Thrombophelebitis / Y N
Vomiting Blood / Y N / Heart Murmur / Y N
CONDITIONS for conditions you currently have or have had in the past ONE year.
AIDS/HIV / Y N / Chicken Pox / Y N / Kidney Stones / Y N / Prostate Problems / Y NAngina / Y N / Diabetes / Y N / Kidney Disease / Y N / Psychiatric Care / Y N
Anemia / Y N / Emphysema/COPD / Y N / Liver Disease / Y N / Rheumatic Fever / Y N
Anorexia / Y N / Epilepsy/Seizures / Y N / Measles / Y N / Scarlet Fever / Y N
Appendicitis / Y N / Fibromyalgia / Y N / Meningitis / Y N / Stroke / Y N
Arthritis / Y N / Glaucoma / Y N / Migraine Headache / Y N / Syphilus / Y N
Asthma / Y N / Goiter / Y N / Mitral Valve Prolapse / Y N / Suicide Attempt / Y N
Bleeding Disorders / Y N / Gonorrhea / Y N / CHF / Y N / Thyroid Problems / Y N
Bronchitis / Y N / Gout / Y N / Mononucleosis / Y N / Tonsillitis / Y N
Bulimia / Y N / Heart Disease / Y N / Multiple Sclerosis / Y N / Tuberculosis / Y N
Cancer / Y N / Hepatitis / Y N / Mumps / Y N / Typhoid Fever / Y N
Cataracts / Y N / Hernia / Y N / Pacemaker / Y N / Ulcers / Y N
Chronic Fatigue Syndrome / Y N / Herpes / Y N / Parkinsons Disease / Y N / Urinary Tract Infections / Y N
Chemical Dependency / Y N / High Blood Pressure / Y N / Pneumonia / Y N / Venereal Disease / Y N
High Cholesterol / Y N / Polio / Y N
PATIENT CONDITION
Reason for Visit/current problem?______
Using the symbols below, please draw in the location of your symptoms on the diagrams.
XXXX = Pain OOOO = Numbness/Tingling **** = Aching
BETTER / WORSE / NO CHANGEBending
Coughing/Sneezing
General Activity
Leaning on cart while walking
Lifting
Lying Down
Sitting
Standing
Strain
Walking
What position/activity makes your condition better or worse?
CIRCLE THE NUMBER INDICATING THE USUAL DEGREE OF PAIN
(0 means no pain, and 10 is the worst pain that you have ever felt in your life)
0 1 2 3 4 5 6 7 8 9 10
HEALTH HABITS OCCUPATIONAL
Circle Y or N if you use the substances below Circle Y or N if your work exposes you to the following:
& describe how much you use.
Y N / Caffeine / Y N / Stress / Y N / Hazardous MaterialY N / Tobacco / Y N / Heavy Lifting / Y N / Other
Y N / Recreational Drugs
Y N / Alcohol
Are you currently working? Yes No
If released from work:
By Whom?______When?______
Why?______
HEALTH HISTORY
Please indicate which DIAGNOSTIC TESTS you have had in evaluation of your main problem/complaint & date.
TEST / Y/N / DATE / TEST / Y/N / DATEPlain X-Ray / EMG/NCT
Bone Scan / MRI
CT Scan / CT/Myelogram
Discogram / Other
Please mark which TREATMENTS you have had for your main problem and indicate whether they were helpful.
TREATMENT / X / RELIEF? / TREATMENT / X / RELIEF?Trigger Point Injections / T.E.N.S. Unit
Epidural Steroid Injections / Manipulations
Physical Therapy / Traction
Electrical Stimulation / Aqua Therapy
Ultrasound / Whirlpool
Heat Packs / Acupuncture
Cold Packs / Other
Brace
Have you seen a Pain Management Specialist before – YES NO If yes, when?______
Have you taken any of these drugs previously?
DRUG / YES / NO / DRUG / YES / NOAleve (naproxyn) / Aspirin
Bextra / Arthrotec
Baclofen (lioresal) / Celebrex
Darvocet (propoxyphene) / Daypro
Demerol (Meperidine) / Dilaudid
Durgesic Patches (fentanyl) / Feldene (piroxicam)
Flexeril (cyclobenzaprine) / Ibuprofen (advil)
Lortab (hydrocodone) / Methadone
Motrin / MS Contin
MS IR (Morphine) / Etodolac (lodine)
Norco / Norflex
Oxycontin / Parafon Forte
Percodan / Percocet
Prednisone / Relafen
Robaxin (methocarbamol) / Skelaxin (metaxalone)
Soma (carisoprodol) / Talwin (pentazocine)
Toradol / Tylenol #3
Vicodin / Ultram (tramadol)
Ultracet (tramadol/APAP) / Zanaflex
Ketoprofen (orudis) / Roxicet
Hospitalizations/Surgeries
YEAR / Hospital Treating Physician / Reason for Hospitalization/Surgery & OutcomeNotes:
______