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  • General Symptom Diary - American Academy Of Family Physicians - Aafp

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GENERAL SYMPTOM DIARY Patients name: Date of birth: / / Medical record #: Date Symptom Time Duration Intensity (110) Triggers Treatment used Response Developed by Bryan Hodge, DO, Pardee Hendersonville.

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How to use or fill out the GENERAL SYMPTOM DIARY - American Academy Of Family Physicians - Aafp online

The general symptom diary created by the American Academy of Family Physicians is a valuable tool for tracking symptoms and responses to treatment. This guide will assist you in filling out the diary online, ensuring a comprehensive record of your symptoms.

Follow the steps to effectively complete the symptom diary.

  1. Click the ‘Get Form’ button to obtain the form and access it in your selected digital environment.
  2. Begin by entering your personal information. Fill in your name, date of birth, and medical record number in the designated spaces.
  3. In the section labeled 'Date,' input the date of each symptom occurrence. This enables you and your healthcare provider to track symptoms over time.
  4. Next, document the specific 'Symptom' experienced. Be as detailed as possible to convey the nature of the symptom effectively.
  5. In the 'Time' field, record the time when the symptom occurred. This helps to track any patterns related to the onset of symptoms.
  6. For 'Duration,' specify how long the symptom lasted. This can be recorded in hours or minutes.
  7. Rate the 'Intensity' of the symptom on a scale from 1 to 10, where 1 represents minimal discomfort and 10 indicates the most intense pain or discomfort.
  8. Note any 'Triggers' that may have contributed to the symptom. This can include activities, foods, or environmental factors.
  9. Record any 'Treatment used' to manage the symptom, including over-the-counter or prescription medications.
  10. Lastly, document the 'Response' to the treatment administered. This will help assess the effectiveness of the treatment.
  11. Once all relevant information is filled out, ensure to save your changes. You can choose to download, print, or share the completed form with your healthcare provider for further discussion.

Start filling out your GENERAL SYMPTOM DIARY online today to help track and manage your health effectively.

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A symptom diary is a simple, effective, clinical tool to augment the diagnostic and therapeutic process for patients in the outpatient setting. Patient logging of specified symptoms or activities in an organized manner improves history taking with minimal risk and cost.

What is a symptom journal? A symptom journal is a notebook, piece of paper, or digital application that monitors the side effects you experience daily. If you have a chronic health problem, like diabetes, multiple sclerosis, or inflammatory back pain, your doctor might recommend documenting how you feel.

A symptom diary can be used to record anything from headaches or period problems to abdominal pain, cough or asthma symptoms. To use the diary, click on download, print the page and fill in the information. Take this with you to your doctor's appointment.

What to include in your symptom journal The date or time (if your symptoms change by the hour). Your temperature. Current medication. ... Include over-the-counter medications and any supplements. Note the time you're taking any medication as well — and any notes around how that can affect you.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232