Download Helpful Self Assessments

Dr. Raymond Wayne Whitted is dedicated to your Well-Being. His Self-Assessement resource allows you to properly determine and assess your medical condition.

Open and print the following documents. Pre-fill the Self Assessment and bring them for your office visit:

• Questionnare for Interstitial Cystitis
• Questionnare on Green Climacteric Scale (Menopause-related)
• Questionnare on Heavy Bleeding
• Questionnare on Abnormal Menstruation
• Calcium intake calculation
• FROVA Menstrual Migraine Tracker

Now you can save time at the doctor's office and better prepare for your visit

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Help with OPENING the Pre-Visit Forms using Acrobat:

The Pre-Visit Forms are available for download as .pdf format. The application Acrobat will open the Pre-Visit files. If you do not have Acrobat on your computer you can download it free.

Help with PRINTING the Pre-Visit Forms using Acrobat:

Once opened in Acrobat, the Pre-Visit Forms can be printed by choosing the "Print" under the main menu item of "File" on the top left of the Acrobat application.