Think about your personal medical history so you can easily answer the questions your doctor asks you at your first visit.

• Chronic illnesses

• Current medications

• Current vitamins, dietary supplements, and herbal supplements

• Allergies to medications

• Past surgeries

• Tobacco use (include frequency of use)

• Average number of alcoholic beverages consumed per week

• Current level of physical activity

Print out the below tables and fill in before your doctor visit: