Thanks for posting this, This is an excellent form it could easily be modified to accomidate a host of different medical problems that cause you to be treated by a Pain Management Specialist With the proper changes and and then have your PM Doc sign off on it! This form could prove to be a great help in getting proper and adquate pain treatment in an ER!!!
P.S. Thanks Screaming Eagle for the link,....Staydog after thinking about
it I suppose I could of just looked up "tysmaboo" and found it, I guess I was brain dead on that one