Hormone Symptom Checklist for Women
Form Template
Evaluation of patient symptoms plays a critical role in determining whether or not to prescribe hormone therapy.
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Use the Hormone Symptom Checklist for Women mobile app to rate the symptoms that you have experienced within the past 3 months as follows: No symptoms - have never experienced , Mild - on occasion but it doesn't really affect me, Frequent - experience often but get myself through it and Severe - very uncomfortable - I can barely function or get through day.
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