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Click ‘Get Form’ to open the Patient Health Questionnaire in the editor.
Begin by entering your name and the date at the top of the form. This personal information is essential for your healthcare provider.
In section 1, describe your symptoms in detail, including the date of onset and what caused your injury. This helps in understanding your condition better.
For section 2, indicate how often you experience your symptoms by selecting one of the options provided. This quantifies the impact on your daily life.
In section 3, choose from the list to describe the nature of your symptoms. Be as specific as possible to aid in diagnosis.
Section 4 asks about changes in your symptoms. Select whether they are getting better, not changing, or getting worse.
Continue through sections 5 to 10, providing details about pain intensity, interference with work and social activities, previous treatments, medications, and overall health.
Finally, sign and date the form at the bottom to confirm that all information is accurate before submitting it.
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