` Family Practice Partners
  | Home
Create An Account
My Patient Page
Health Forms
Pre-visit Interview


IMH Links 2
 
  Favorites
Hypertension Follow-Up
Diabetes and Hypertension Follow-up
Upper Respiratory Infection (URI) - Medium
Cold, Flu - Medium
Sore Throat
Back Pain (General)
Nausea or Vomiting
Diarrhea
Urinary Tract Infection (UTI)
Abdominal Pain
Chest Pain
Headache
Adult ADHD Self-Report Scale (ASRS)
Pain - Follow up Established Patient
Mood Disorder Questionnaire for Bipolar Disorder (MDQ)
Patient Health Questionnaire (PHQ-9) for Depression
Skin Rash
Epworth Sleepiness Scale
General Medical Examination MCR (Established patient)
Chief Complaint (Acute symptoms)

Musculoskeletal
   Back Pain
Back Pain (General)
Lower Back Pain
Middle Back Pain
Neck Disability Index
Oswestry Low Back Pain Disability Questionnaire
Upper Back Pain
   Injury
Altercation (Fight)
Animal Bite
Bruise
Burn
Digital - Toe
Head Injury
Injury (General)
Insect Sting
Motor Vehicle Accident
Multiple Injuries
Repetitive Use Injury to Wrist
Work Related Injury
   Other Musculoskeletal
Arm Pain
Chest Pain
Gout
Hip Pain
Knee Pain
Leg Pain
Osteoporosis
Neck Pain
Oxford Shoulder Score
Shoulder Pain
Wrist Pain (Carpal Tunnel Syndrome)
American Pain Society Guidelines for the Treatment of Pain
Joint Pain
Musculoskeletal (General)
Osteoporosis Risk
Pain Disability Assessment Scale
Patient Comfort Assessment Guide for Pain Management
Review of Systems - Rheumatology
Neurological Symptoms
   Fatigue
Brief Fatigue Inventory (BFI)
Fatigue Severity Scale
Fibromyalgia Impact Questionnaire
Fibromyalgia Rapid Screening Test
Iowa Fatigue Scale (IFS)
Fatigue or Lethargy
   Headache
Headache 1 (Questions: AVG-24 MEAN-24)
Headache 2 (Questions: AVG-44 MEAN-39)
Headache 3 (Questions: AVG-50 MEAN-41)
Headache 4 (Questions: AVG-64 MEAN-48)
Headache 5 (Questions: AVG-90 MEAN-89)
Headache Diagnostic Scale
Headache Impact Test (HIT)
Headache Unspecified
Migraine Disability Assessment Scale (MIDAS)
Migraine Headache Rapid Assessment Tool
   Other Neurological Symptoms
Autonomic Nervous System
Daytime Sleepiness
Dizziness Handicap Inventory (DHI)
Dizziness or Lightheadedness
Insomnia - New Patient
Loss of Consciousness
Syncope
Weakness
Neurological Symptoms (General)
Pain (also see Musculoskeletal, ENT)
   Back Pain
Abdominal Pain
Breast Pain
Chest Pain
Dental Problem
Facial Pain
Mankowski Pain Scale
Narcotics Addiction
Neck Pain
Painful Mass
Pelvic Pain
   Workup of a Pain Patient
Current Pain
Interventional Pain - Established Patient
Interventional Pain - New Patient
Pain - Follow up Established Patient
Pain - New Patient
Review of Systems for Pain Patient
Psychiatric
   Anxiety
Barsky Palpitations Screening Instrument
Bernreuter Agoraphobia Scale
Hamilton Anxiety Rating Scale (HAM-A)
Holmes Rahe Stress
Zung Anxiety
   Depression
Carroll Depression
Edinburgh Postnatal Depression Scale (EPDS)
Geriatric Depression Scale (GDS)
Patient Health Questionnaire (PHQ-9)
Two Question Depression Screen
Zung Depression
   Fatigue
Brief Fatigue Inventory (BFI)
Iowa Fatigue Scale (IFS)
   General Psychological Evaluation
Mental Health Inventory-5
Post-Stress Syndrome
Psychiatric Impairment Scale
Physical Symptoms
Fatigue or Lethargy
Insomnia - New Patient
Nail Biting
Palpitations
Adult ADHD Self-Report Scale (ASRS)
Vanderbilt ADHD Scale Parent
Vanderbilt ADHD Scale Teacher
Substance Abuse
Alcohol Use Disorder Identification Test (AUDIT)
CAGE Alcohol Screen
CAGE-A Drug / Alcohol Screen
CRAFFT Adolescent Substance Abuse Screening Test
Drug Abuse Screening Test - 10 (DAST-10)
Drug Abuse Screening Test - 20 (DAST-20)
Drug Usage Symptom Inventory (DUSI)
Narcotics Addiction
Adult ADHD Self-Report Scale (ASRS)
Burden (of caregiving) Interview (BI)
Social Phobia Inventory (SPIN)
Yale-Brown Obsessive Compulsive Scale (YBOCS)
Skin or Integumentary
Biopsy, Skin
Burn
Cold Sore
Dry Skin Bother Scale
Eczema
Edema
Foot Odor
Frostbite
Genital Sores
Hair Problems
Hives (Urticaria)
Itching
Jaundice
losing hair
Lump / Mass / Growth
Nail Biting
Nail Problems
Onychomycosis (Toenail Fungus)
Rosacea
Skin (General)
Skin Rash
Unwanted Hair
Vitiligo (White Patches)
Warts
Wrinkles