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- Spring 2018 -

Ticks and Lyme Disease Including Chronic Lyme Disease

Lyme Disease NIH INfo 2012

Your Guide to Lowering Blood Pressure with the DASH Diet

Heart Disease A Visual Slideshow

About Chronic Kidney Disease

Chronic Kidney Disease

Chronic Kidney Disease and The Family Doctor

Vitamin D Info

Daily aspirin therapy: Understand the benefits and risk Mayo Clinic

Help Managing Your Diabetes

Diabetes Center Mayo Clinic Link

Lantus SoloStar Pen Picture

Treatment of Upper Respiratory and Sinus Infections

Insulin Injection

Smoking Cessation Center WebMD

Seasonal & Food and Other Allergies

Fish Oil Supplements

Vitamin D Deficiency

Colonoscopy Explained

No Increase in Cancer with ARBs

FDA & Dietary Supplements

Flu Treatment from WebMD

Common Cold from Mayo Clinic

Neck & Back Pain Videos

Smoking Cessation Resources

more...
» Healthtrax «

Physician-Referred Exercise Program
New Patient FormFollow Up Visit
WebMD Health Headlines
FDA Takes Action Against Teething Products, Makers
New Guidelines Mean 1 in 3 Adults May Need BP Meds
Could Eating Fish Boost Sex Lives and Fertility?
Mediterranean Diet Most Popular on U.S. Coasts
Skin May Absorb Toxins from Grill Fumes
A Pill Will Protect You From Sun? No Way, FDA Says
Closing Power Plants Tied to Fewer Preterm Births
Donít Scramble Diet Over Eggs and Heart Study
Yoga May Be Right Move Versus Urinary Incontinence
U.S. Cancer Death Rate Down, But Prostate Cases Up
Adding Blue Dye to Colonoscopy May Boost Detection
Mom-to-Be's Pot Use Tied to Changes in Baby's Size

Follow Up Visit Form

Please complete before your follow-up visit; This pay become part of your permanent record if you choose. If you would prefer to print this form, please use the printable Followup Visit Form Please be aware that we may not be able to address more than a few issues during your visit.

* Required
* Patient Name:
* Appointment Date:    * Time: 
Add to your
permanent record?:  Yes    No

* Reasons for Visit:
Annual Physical Exam  Asthma or Allergy recheck  
Blood Pressure recheck  CDL Physical  
Cholesterol recheck  Colds and Upper Repiratory symtoms  
Diabetes recheck  Dietary Discussion  
Immunizations  Labwork request  
Motor Vehicle Accident
(Please give details - ER-evaluation, XRays, Medications, followup and referrels, lawyer involvement)
  Prescription refills  
School or Sports Physical  Semi-Annual Exam  
Sore Throat  Sports Injury  
Work-Related Injury  Other (fill in below)  

* Details of Illness
Please give details of illness and why you need to be seen; list how long you have been ill and whether you have been to a treatment center, ER, etc.; list any medications or treatments you have received.

Medication Refill(s)
Please list medications to be refilled and whether 30 day or 90 day supply

Paperwork and Forms
Please list forms to be completed; e.g. CDL, School Physicals, Insurance, Disability, etc.
Note: There may be a charge for completion of these forms.

Do you have any questions for the nurse or doctor?