Copy of Snippet "Therapy Progress Note"

Therapy Progress Note 5/3/23

Suboxone Therapy Progress Note:{formdate: \ MM/DD/YYYY} 

I feel anxious {formmenu: default=0; 1; 2; 3; 4; 5} I feel nauseated or like I may need to vomit {formmenu: default=0; 1; 2; 3; 4; 5}
I feel like yawning {formmenu: default=0; 1; 2; 3; 4; 5} I have stomach cramps and/or diarrhea {formmenu: default=0; 1; 2; 3; 4; 5}
I Have a headache {formmenu: default=0; 1; 2; 3; 4; 5} I feel dehydrated and/or have not had much appetite {formmenu: default=0; 1; 2; 3; 4; 5}
I am perspiring {formmenu: default=0; 1; 2; 3; 4; 5} I am having difficulty sleeping {formmenu: default=0; 1; 2; 3; 4; 5}
My muscles twitch {formmenu: default=0; 1; 2; 3; 4; 5} My nose is running and/or my eyes are watery {formmenu: default=0; 1; 2; 3; 4; 5}
My joints hurt {formmenu: default=0; 1; 2; 3; 4; 5} I have goosebumps and/or chills {formmenu: default=0; 1; 2; 3; 4; 5}

I feel like using now {formmenu: default=0; 1; 2; 3; 4; 5}
I would rate my overall level of withdrawal as {formmenu: default=0; 1; 2; 3; 4; 5}

Do you feel like you need a dosage change? {formmenu: default=No; Yes - Go up; Yes - Go down}
Have you used alcohol or dugs since your last visit? {formmenu: Yes; default=No; name=}
If 'yes' please describe what, when and how much
{formparagraph: name=Illicit Usages}

Please describe the problems or situations you found most stressful during the past week.
{formparagraph: name=Stressful situations}

Pharmacy: {formmenu: Walmart Indianola; Martin's; Brown's Greenville; Kroger Greenville; Walgreen's Greenville; CVS Greenville; Greenwood Downtown Drug; Kroger Batesville; Kroger Granada; CVS Greenwood; Condon's; default=Other:\ }{formtext: name=Other pharmacy}
Drug Screen: {formmenu: Appropriate; Inappropriate; default=Not done; name=UDS} {formtext: name=If inappropriate, how?}
Where do you do your drug tests? {formmenu: IFMG Indianola; Family Medical Clinic, Greenville; Byrd Clinic, Clarksdale; UMMC, Grenada; NSMC, Ruleville; LabCorp; default=Other:\ ; name=UDS locations} {formtext: name=Other UDS location}