Folks may like to copy/print this form to use in discussions with their health advisers.
[ At some point I will attempt a redesign to include a metric for frequency of incidence ---- all
suggestions gratefully received ]
07/04/15 ..Unfortunately it is not possible to post a good quality re-printable image on this site.
If anyone would like to reproduce this form please send me a private message quoting their email and I will send them a PDF.