Document a new health incident for your personal records and tracking
Episode Information
About Important Questions
Important questions help you document key symptoms for your personal health record. These notes will help you track patterns and provide complete information if you decide to seek additional care.
searchEssential Information
Describe the symptoms or incident that brought you to fill out this form. Include what you were doing when it started.
Be specific about the location of symptoms. Note if the sensation moves or spreads to other areas.
Rate your overall pain level right now
Describe the quality of the sensation - is it sharp, dull, throbbing, burning, etc.? What makes it better or worse?
rotate_rightCondition Severity Assessment
Use arrow keys or tab to navigate between severity levels. Press Enter or Space to select.
Select your current condition severity level above