pacific neuroscience logo
pacific neuroscience medical group

patient care
introduction
patient handbook
forms and handouts

forms and handouts
Below are some forms and handouts that you may find helpful to view online, download, or print at home. In particular, we recommend that our patients with Parkinson's disease print out the two Parkinson's review of systems forms at home and complete them both before each visit. This will allow you to make the most of each appointment at Pacific Neuroscience.
Communication guide
The following is a summary of a talk given by Dr. Sutton at a symposium sponsored by the Parkinson's Institute on Physician-Patient Communication. It is our hope that wherever you decide to go for your care, this information will help you to communicate better with your neurologist.

download physician-patient communication guide (pdf)


Review of systems forms
The PAC-25 is a survey of 25 symptoms, created by Dr. Sutton to help monitor and manage patients with Parkinson’s disease and related conditions. It contains a list of symptoms that are sometimes part of Parkinson’s disease, sometimes the result of medications, and sometimes a combination of the two. We ask our patients with Parkinson’s disease to complete this before each appointment.

download PAC-25 form (pdf)


The Parkinson’s Activities of Daily Living Questionnaire is a modified version of the “Assessment of the activities of daily living to help evaluate disease progression and effectiveness of therapy for Parkinson’s patients” questionnaire, by Stanley Fahn, MD. That questionnaire was itself a modification of a research tool developed by leading Parkinson’s disease experts, used both to measure the effect of experimental Parkinson’s medication, and also used to monitor the progress of patients with Parkinson’s disease in specialty centers around the world. It contains a list of thirteen domains that can be affected in patients with Parkinson’s disease. We also ask our patients with Parkinson’s disease to complete this before each appointment.

download Parkinson's questionnaire (pdf)

home >>


CURRENT STUDIES
Alzheimer's disease
early
mild to moderate
Parkinson's disease
early
advanced
FEATURED EVENTS
free memory screenings
educational events