Instructions: Find the form that applies to your situation. Download the form, print it out, and take it to your most helpful doctors to complete. Some doctors may allow you to email the forms to them.
Questions: Post any questions about these forms in your client portal.
- COLITIS: Colitis is a digestive disease that involves inflammation of the colon’s lining. Consider taking this form to your gastroenterologist.
- CROHNS: Crohn’s disease is a chronic inflammatory bowel disease (IBD) that causes inflammation in the digestive tract. Consider taking this form to your gastroenterologist.
- FATIGUE: Chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME), is a chronic illness that can make it difficult to perform daily activities. Consider taking this form to your primary care doctor or the specialist treating your chronic fatigue.
- HEADACHES & MIGRAINES: Migraines are a chronic neurological disorder that cause recurring headaches and other symptoms. Consider taking this form to your neurologist.
- HEART PROBLEMS: Heart problems, also known as cardiovascular diseases (CVDs), can include a variety of conditions that affect the heart and blood vessels. Consider taking this form to your cardiologist.
- MENTAL HEALTH PROBLEMS: Mental health problems, also known as mental illnesses, are mental, behavioral, or emotional disorders that can range in impact from mild to severe. Consider taking this form to your mental health provider.
- SHOULDER PROBLEMS: Shoulder problems can include a number of injuries and conditions. Consider taking this form to your orthopedic doctor, orthopedic surgeon, or pain specialist.