Program Updates

PROGRAM UPDATES, WORKSHEETS AND FORMS

You can print or download files to replenish worksheets and forms in your copy of the Every Victory Counts™ manual here. Check this page often for updates to the Every Victory Counts program and companion manual. We’ll post them as they become available.

You will need to have Adobe Acrobat Reader installed on your computer. Click here to download a free copy of Adobe Acrobat Reader.

Please click here to read an important message before downloading and/or utilizing any of the materials below.

Use of these online materials is at your own and sole risk. Always consult your doctor before making any changes to your diet and/or exercise routine.

Downloads

  • Parkinson's Care Questionnaire
    Parkinson's care questionnaire worksheet.
  • Symptom Checklist
    The following checklist will help other medical specialists, therapists or your hospital team optimize your care. This can serve as a summary of your problems or concerns, improving your team’s understanding of you and your Parkinson’s and helping them to tailor your treatment.
  • Daily Diary of Symptoms and Medications
    Daily diary of symptoms and medications.
  • Medication Log
    Medication log form. Keep track of dosages and reactions.
  • Goal Summary For Clinic Visits
    The best way to improve your health is by being an active participant rather than a spectator. Complete this form during and between each clinic visit. Record your action steps, and progress between visits. Make additional copies of this form or visit www.davisphinneyfoundation.org, and download copies for future visits. Review your results with your healthcare provider at each visit.
  • Doctor Contact Information
    Doctor contact information work sheet.