Managing Acute Flares and Severe Symptoms
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Name: _________________________ Date: _________________________ Emergency Contact: _________________________
Contact your healthcare provider immediately if:
Dermatologist: _________________________ Primary Care: _________________________ Emergency Room: _________________________
Medication | Dosage | When to Use |
---|---|---|
_Patient Signature: _________________________ Date: _________________________
Physician Signature: _________________________ Date: _________________________
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