Journal / Cushing's Help and Support

Medical Journal...

Questions for the Doctor:









Notes:









Allergies
	Date	Allergy	Severity	Drugs used	Prescribed by	Side Effects




Immunizations
	Date	Immunization		For what reason?	Prescribed by	Side Effects




Measurements
	Date/Time	Weight			Health Professional



Medical Conditions
	Date identified	Type	Severity	Drugs used	Diagnosed by	Surgery




Past Medical Conditions
	Date resolved	Type	Severity	Drugs used	Diagnosed by	Surgery




Medical Tests
	Date	Name	Results	Drugs used	Health Professional	Side Effects




Medications
	Date Started	Drug Name	Reason Prescribed	Prescribing instructions, amount per day	Prescribed by	Side Effects




Past Medications
	Date Stopped	Drug Name	Reason Stopped	Prescribing instructions, amount per day	Prescribed by	Side Effects




Surgeries and Procedures
	Date	Type	Reason	Drugs used	Doctor / Location	Outcome