Filling this in before you come means the consultation is spent on your diagnosis rather than on reconstructing history. Write what you remember — approximate dates are fine, and leave anything blank if you are unsure. Bring your reports with it.
Include painkillers, steroids, ayurvedic or homeopathic medicines, supplements and anything bought without a prescription. All of it matters.
Note why each was stopped, if you remember — no effect, side effects, or the course simply finished.
Old reports are as useful as recent ones — they show how things have changed. Bring originals where you have them.
Nothing here is sent to this website. There is no server behind this page and nothing you type is stored on it or saved on this device. When you tap Send on WhatsApp, your own WhatsApp opens with the answers written into a message — nothing leaves your phone until you press send there, and you can edit or delete any of it first. If you would rather not send it at all, print the page and bring it written by hand.