MY TREATMENT JOURNAL - OFEV...MY TREATMENT JOURNAL Tracking my journey with OFEV® It only takes a...

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MY TREATMENT JOURNAL

Tracking my journey with OFEV®

It only takes a few minutes each day to record important information about changes in your health. You can also record questions to ask your doctor or your Specialty Pharmacy, or topics that you would like to discuss with your Personal Care Team at OPEN DOORS®.

Create a record of your treatment experienceWriting in this journal and keeping a list of medicines creates a record that can help you, your caregiver, and healthcare team see how you are doing and feeling.

Keep a journal of changes in your health

To request an additional journal, call the OPEN DOORS® Patient Support Program at 1-866-OPENDOOR (1-866-673-6366).

My medicinesYou should list all of the medicines you are taking or plan to take. Share the list with your doctor and pharmacist regularly.

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Date: Time:

Weight today Weight yesterday

OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Date: Time:

Weight today Weight yesterday

OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Date: Time:

Weight today Weight yesterday

OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Date: Time:

Weight today Weight yesterday

OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Date: Time:

Weight today Weight yesterday

OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Date: Time:

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OFEV capsules taken today

Changes in my health

Questions or personal thoughts

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Questions or personal thoughts

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OFEV capsules taken today

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OFEV capsules taken today

Changes in my health

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OFEV capsules taken today

Changes in my health

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Date: Time:

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OFEV capsules taken today

Changes in my health

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OFEV capsules taken today

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Copyright © 2019, Boehringer Ingelheim Pharmaceuticals, Inc. All rights reserved. (10/19) PC-US-112037

Call 1-866-OPENDOOR (1-866-673-6366) Visit ofev.com

We’re here to help whenever you need us.

For an additional journal, call the OPEN DOORS® Patient Support Program.