Referring doctor or clinic
|
Free Text History
|
Main Symptom/Lesion Mass Type
|
Location
|
Size at onset (if applicable)
|
Current size (if applicable)
|
Severity
|
How long with symptoms or mass?
|
Associated symptoms
|
Symptoms denied
|
What causes symptom or makes it worse?
|
What helps or makes symptoms better?
|
What treatments/meds tried? Effective or not?
|
Additional history
|