Clinic Resources

Intake forms and family education materials

Hypertension

📋 HTN Intake Form v4.0

4-page intake: birth history, family history, meds, sleep, symptoms, diet, exercise, social factors.

Download PDF

PDF • 4 pages • Print double-sided

👨‍👩‍👧 BP Family Handout

Patient education: white coat vs sustained HTN, workup (ABPM, echo, labs, sleep study), DASH diet, lifestyle.

Download DOCX

Word • Editable

Dyslipidemia

📋 Cholesterol Intake Form v3.0

4-page intake: lipid history, Lp(a), family history, meds affecting lipids, symptoms, detailed diet assessment.

Download PDF

PDF • 4 pages • Print double-sided

Syncope

📋 Syncope Intake Form v2.1

4-page intake: event details, warning symptoms, witness observations, red flags, medical history, prior workup, dysautonomia screening, family history.

Download PDF

PDF • 4 pages • Print double-sided

← BP Percentile Calculator