Current Medication List

Current Medication List

Please list all prescription and over-the-counter medications and supplements you are currently taking for pain or symptom management. The dose should be the amount of medication and the frequency is how many times of day you typically take it. If you take medications as needed, please estimate how many times you would typically take that medication in an average week to get a picture of how you are using medication to help control your symptoms.

  • Last 4 digits of your phone number
  • PRESCRIPTION AND OVER-THE COUNTER MEDICATION OR SUPPLEMENTDOSEFREQUENCYREASON FOR MEDICATION OR SUPPLEMENT 

You Have Been Diagnosed With A Hypermobility-Related Syndrome...

Now What?

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