Patients

When you visit me for the first time I will need to know the state of your current health in detail. In addition I will also require some routine medical history, so please complete the medical background form as far as you can and bring it with you to your first appointment. If you object to this form for any reason please don't stress, it is not obligatory for you to fill it in, it only saves us both a little time initially and I feel fine about going through this information in person.

Please list any medications you are currently taking (including supplements as well as homeopathic/herbal preparations) on a separate sheet of paper. If you have had homeopathic treatment in the past please list the homeopathic medicines you have been prescribed if you are able to.

If you have any further questions there will be time to talk them through when you come to see me. Please also find directions on how to get to me by car.

If you need to change or cancel your appointment please give me 24 hours notice, otherwise there will be a charge.

Before You Visit - Acute complaints

It is helpful to me if you have made a note of your symptoms before calling me. The more information you have the better. 

When did your symptoms start?

◦ Which day, what date?

◦ What was happening around the time your symptoms started?

◦ Did you get a shock or an emotional upset?

What about physical stresses?

◦ Did you get chilled in a cold wind or eat too much spicy, rich foods?

◦ Were you up all night for a week with a sick child and became run down?

◦ Describe your symptoms in as much detail as possible.

If you are suffering pains...

◦ Where are they?

◦ How do they feel?

◦ Does anything make them feel better? (pressure, heat, cold, laying down, moving around, etc)

◦ Does anything aggravate them (make them feel worse)?

◦ Are they better or worse at any time of day or night?

◦ Do the pains radiate anywhere?

Have any of the following changed from your normal state of health?

◦ Energy

◦ Appetite

◦ Thirst

◦ Perspiration

◦ Response to heat/cold

◦ Sleep 

Have you noticed any changes in your moods (mental/emotional state) since you became sick?

Are you more (or less) irritable, depressed, anxious, etc?

Do you have any odd sensations or feelings in your body?

I am particularly interested in those symptoms which are unique to you and are different from those which are common to your complaint, e.g. most coughs are worse laying down so if your cough is better laying down it is a more important symptom. For example: people can feel like their bones are broken with a flu, or there is hair on the back of their tongue with a cough.

Have you taken anything so far?

Herbal, homeopathic, conventional medications, etc.

Has a diagnosis been made by your primary care doctor?