Pain Rating | Physical Therapy Associates

PAIN RATING


0 = PAIN10 = WORST IMAGINABLE PAIN

MEDICATION

List ALL current prescriptions, over the counter medications, herbal, vitamin/mineral/dietary (nutritional) supplements
MEDICATION NAME DOSAGE (ex. mg,ml, cc) FREQUENCY (ex. 3 times a day, 5 times a week) ROUTE OF ADMINISTRATION (ex. oral, injection, topical)