Headache Questionnaire

CHMC Headache Questionnaire - Webmedia
CHMC Headache questionnaire Author: Andrew D. Hershey Last modified by: Lenovo User Created Date: 6/2/2013 9:05:00 PM Company: CHMC - Neurology Other titles: ... Get Content Here

HEADACHE QUESTIONNAIRE - Bank Of Montreal
HEADACHE QUESTIONNAIRE (to be completed by Proposed Insured) Name: Application No.: 1. When did headache first occur? When was the last attack? 2. ... Fetch Document

Ultimate Disney Questionnaire | ASMR - YouTube
I tag all Disney fans! Let me know if you're doing it too :) I have some proper vids coming soon! The Questions: 1. Favorite Disney Movie 2. Favorite Disney Heroine 3. Favorite Disney Hero 4. Favorite Disney Sidekick 5. Favorite Disney Villain 6. Favorite Disney Couple 7. Favorite ... View Video

Headache Imaging updated 10/21/2011 1 Headache Imaging Questionnaire – CarePlanner/iEX (70450, 70460, 70470, 70551, 70552, 70553) 1. DO NOT SUBMIT IF PT is eligible for: Take Charge/FPO, Managed Care (MCD), Detox only, if PT has ... Fetch Document

The Craniofacial Pain, Headache And Sleep Center Headache ...
Headache Questionnaire Patient Name: _____ Date: _____ Age of onset of headache: Circumstances around the onset of headache: Recent change in headache: Present Frequency of headaches: (per month) Past frequency of headaches: Prodromes (warning signs before the onset ... Doc Retrieval

Pre Treatment Migraine Headache Questionnaire
Pre Treatment Migraine Headache Questionnaire Name Date _____ (H) Tel (W) Tel Date of Birth Female Male ... Document Retrieval

Headache Patient Questionnaire - Rowe Neurology
K:\
ursing Resource Manual\\Headache questionnaire-dmw.doc 1. How often do you get headaches bad enough to interfere with your daily activities and how long ... Document Retrieval

Headache History Questionnaire - ChairsideSplint.com
Headache History Questionnaire 1. On a scale of 1-10, with "10" being the worst pain imaginable above the shoulders, how many mornings per week do you wake with a "0" (zero)? ... Fetch Content

HEADACHE DISABILITY INDEX - Billerica Chiropractic Office
HEADACHE DISABILITY INDEX NAME: _____ D ATE: _____ A GE: ____ S CORES TOTAL: ____; E____; F____ (100) (52) (48) INSTRUCTIONS: Please CIRCLE the correct response: 1. I have headache: [1] 1 per month [2] more than but less than 4 per month [3] more than one per week. 2. My headache is ... View Full Source

Another VA Headache: Privacy Violations Rising At Veterans’ Medical Facilities
By Annie Waldman and Charles Ornstein This story was co-published with NPR's Shots blog. When Anthony McCann opened a thick manila envelope from the Department of Veterans Affairs last year, he expected to find his own medical records inside. Instead, he found over 250 pages of deeply revealing personal information on another veteran’s mental health. “It had everything about him, and I could ... Read News

Does Prednisone Tapering Minimize Withdrawal? - About.com
Prednisone withdrawal symptoms can occur if steroids are not discontinued gradually. Tapering the dose of prednisone minimizes prednisone withdrawal symptoms. ... Read Article

Cervicogenic Migraine Headache Questionnaire
HEADACHE QUESTIONNAIRE 1. What type of treatment have you had in the past for your headaches? ___ Chiropractic ___ M.D. ___ P.T. ___ Other - Explain _____ 2. Have you been diagnosed with migraine or tension headaches? . . . . . . . . . . . . . . . Y N 3. If yes, by what ... Read Here

Do You Have A Cold Or Allergies?
Do you have symptoms of seasonal allergies or a cold? Sometimes it can be difficult to know the difference. Take this quick quiz to find out whether you have a cold or allergies. ... Read Article

Headache Questionnaire Name: Date: Date Of Birth
Headache Questionnaire Name: Date: Date of Birth: Please answer the following questions to the best of your knowledge. This information will assist us in evaluating ... Read More

Return To Play - Concussion Guidelines - About.com Health
Following proper return to play guidelines after a concussion can help avoid complications of concussions, such as second-impact syndrome. ... Read Article

Common Migraine Due To Stress - Video Abstract [62922] - YouTube
Video abstract of original research paper Migraine: is it related to hormonal disturbances or stress? published in the open access International Journal of W ... View Video

Fatigue (medical) - Wikipedia, The Free Encyclopedia
Headache; Chronic pain; Cancer pain; Myalgia; Malaise and fatigue: Atrophy. e.g., Muscular atrophy; Debility (or asthenia) Lassitude; Lethargy; Muscle tremors; Tenderness; Miscellaneous: Flu-like symptoms; Common cold. Viruses: Adenovirus; Coronavirus; Enterovirus; ... Read Article

Headache History Questionnaire Name: Date:
Headache History Questionnaire Name:_____ Date:_____ 1. On a scale of 1-10, with "10" being the worst pain imaginable above the shoulders, ... Read Full Source

New Patient Questionnaire - UTSW Medicine
UT Southwestern Headache and Facial Pain Disorders Program New Patient Questionnaire Name Date Age your headaches began (or how long ago did they start?) ... Return Doc

MIDAS: Migraine Disability Assessment Questionnaire
Introduction to MIDAS The following questionnaire was developed to help you and your doctor or healthcare provider determine the impact migraine is ... Content Retrieval

Headache Questionnaire - Fxneuro.org
Headache Questionnaire. Patient Name: Date: Symptoms. l. Describe a typical headache episode: 2. How would you rate the pain? (circle the number that applies) ... Access Full Source

HEADACHE QUESTIONNAIRE Final - APM Spine And Sports Physicians
HEADACHE HISTORY: When did your APM HEADACHE QUESTIONNAIRE 8 of 8 Revised: 08/18/2011. Title: Microsoft Word - HEADACHE QUESTIONNAIRE final Author: KATHY Created Date: 1/29/2008 9:42:30 PM ... Read Full Source

Migraine - Simple English Wikipedia, The Free Encyclopedia
The World Health Organization says that migraine headache is the most costly brain problem for treatment and disability in the European Union and the United States. A Simple English version of the Migraine disability assessment questionnaire. ... Read Article

Headache Disability Index - Knoxville, TN Chiropractor
Headache Disability Index. Patient Name: _____ Date: _____ PLEASE READ: This questionnaire is designed to enable us to understand how much your headaches have affected your ... Fetch Doc

HEADACHES (INCLUDING MIGRAINE HEADACHES) DISABILITY BENEFITS ...
Va€form feb 2011. 21-0960c-8. headaches (including migraine headaches) disability benefits questionnaire. name of patient/veteran patient/veteran's social security number ... View Doc

Headache Questionnaire - Medical Faculty Associates
DEPARTMENT OF NEUROLOGY – GWU. HEADACHE QUESTIONAIRE 6.15.09 2 12. Does the pain usually change with any of the following? ... Access Doc