Your first-visit summary

Name: Prepare for Your Rheumatologist Visit: Printable Summary | Dr. Jindal
Creator: Dr. Ashish Jindal

Five minutes now saves time in the consultation. Answer a few questions and print a one-page summary to hand to your rheumatologist.

Printable one-page summary

Saved only on this device, in this browser. Nothing is sent to us or anyone else. Clearing your browser data removes it.

Name

Age

What is the main problem?

Since when?

Morning stiffness — how long?

Which joints or areas?

Other symptoms (tick any)

RashMouth ulcersHair fallDry eyes or mouthFingers turn white/blue in coldPsoriasisBack painRed, painful eyeFeverWeight lossHeel painSwollen finger or toeMuscle weaknessTiredness

Tests already doneWrite key results if you have them — still bring the reports

Medicines you takeInclude painkillers, steroids, herbal and Ayurvedic preparations

Allergies or past side effects

Family historyArthritis, psoriasis, lupus, thyroid…

Questions you want to ask

Also useful

First visit checklist — what to bring and expect
Questions to ask your rheumatologist
Understanding your blood tests

This is a self-help tool, not a diagnosis. It helps you keep track and talk to your doctor. If you feel very unwell, have a high fever, chest pain, sudden weakness or vision loss, seek medical care straight away.