Needham Wellesley Family Medicine

PATIENT FORMS /  HANDOUTS

Patient Forms To Fill-Out

Education Handouts

- Patient Physical, Review of Systems, Health Habits, and Family History

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- Mindful Eating and ROS Wellness Questionnaire

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- Health Care Proxy

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- Epworth Sleepiness Scale

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- Nutritional Checklist

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- Nutrition and Exercise Log

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- PHQ-9 Questionnaire

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- Suggestions for Treating Common Cold

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- Low Back Rehabilitation Exercise Guide

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- Meditation Guide

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- Healthy Food Choices

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- Common Bread Ingredients to Avoid

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- Sugar Synonyms and Artificial Sweeteners

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- Smoothies, Shakes, and Fruit Juice

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- 7 Ways Sleep Can Help You Lose Weight

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- Free Medicare Benefits Consultation Invitation

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- HIPAA Notice of Privacy Practices

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- Immunization and Vaccine Schedule 2022 (Children)

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- Immunization and Vaccine Schedule 2022 (Adults)

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- Second Covid-19 Vaccine Booster Dose

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- Lung Cancer Screening Right For Me?

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- Hydration and Dehydration

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