PATIENT TRACKING SYSTEM

LOG FOR CANNABIS USAGE, SYMPTOMS, AND SIDE EFFECTS

GUIDELINES FOR NOTIFYING YOUR PHYSICIAN

A daily log or journal is the best way to evaluate one’s benefit and/or negative effects from medical cannabis use.

 

Patients should use these logs to self-evaluate symptoms, effects and benefits as well as to provide this information to the physician that is recommending their medical cannabis use.

 

Symptoms are very important to the treating physician. Please be as specific as possible, including details of onset, quality, duration, associations and severity.

  • Severity of symptoms can be quantified with a number scale of 1 to 10 with 10 being the most severe and 1 being the lease severe
  • Be sure to immediately notify recommending physician of any side effects that occur as a result of cannabis use

ITEMS TO BE RECORDED REGARDING MEDICAL CANNABIS USE INCLUDE:

  1. Symptoms or reason for using medical cannabis
  2. Amount and type of cannabis utilized
  3. Method of use
  4. Positive effects and/or relief from symptoms
  5. Unwanted side effects 

A patient symptom tracking log is provided on the following page to assist in documenting information. This daily log can be photocopied and used to record the above information