Complete these forms in advance…
There are times when emergency care is necessary for Migraines and severe headaches. In the event that your doctor is not available, it may be necessary to seek care from a hospital emergency room or an urgent care facility.
Such emergency care can present problems of its own. Emergency physicians usually don’t have the opportunity to learn much about treating problem headaches and Migraines. Then there’s the problem created by people who go to the ER or urgent care facility and fake an illness to obtain medications, usually opioids, for the “high.” The two conditions most frequently faked in this fashion are back pain and “migraine” because there are no tests to prove or disprove those complaints. Thus, in some settings, Migraine patients are sometimes suspected of drug-seeking.
In an attempt to negate the “drug seeker” issue when emergency care is needed, we have developed forms to be completed by patients and their physicians and taken to emergency rooms and urgent care facilities when care is needed. The physician’s form and much of the patient’s form can be filled out in advance and kept handy.
When you go for treatment and present these forms, emergency personnel will have a head start on gathering the information necessary for treatment.
Click on the needed forms to download. All forms are in Adobe Acrobat format, and the free Acrobat Reader is necessary:
- Patient form for Migraineurs
- Physician form for Migraineurs
- Patient form for cluster sufferers
- Physician form for cluster sufferers
© Teri Robert, 2007.
All forms © 2001 - 2007, Teri Robert. All rights reserved. These forms may not be copied or altered without express written permission.
Last updated November 16, 2007.
Teri Robert is a leading patient educator and advocate and the author of Living Well with Migraine Disease and Headaches. A co-founder of the Alliance for Headache Disorders Advocacy and the American Headache and Migraine Association, she received the National Headache Foundation’s Patient Partners Award and a Distinguished Service Award from the American Headache Society. Teri can be found on her website, and blog, Facebook, Twitter, StumbleUpon, Pinterest, LinkedIn, and Google+.