Acute Gout

Explain your symptoms or tell us how we can help today.*

Do you have allergies to any medications?*

If yes, please list any medications you have allergies to:

Are you pregnant or breastfeeding?*

Unfortunately we cannot proceed with your request based on the information you have provided.

Do you have any swelling, pain, redness in the big toe?*

What symptoms have you been experiencing recently?*

If you've listed "other", please explain your symptoms:*

How long have you been having these symptoms?*

Have you ever been treated for acute gout?*

How long ago?*

What medications were you treated with?*

List treatment plan:*

Did treatment work?*

Would you prefer the same treatment?*

Smoker?*

Alcohol use?*

Any medical family history?*

Please explain your medical family history:*

Do you have any medical conditions?*

Please explain your medical conditions:*

Have you ever had any surgeries or recent hospitalizations?*

Please explain your surgeries or recent hospitalizations:*

Do you currently take any medications, herbals, or supplements?*

Please list any medications, herbals, or supplements:*

Scan/Upload any Relevant Medical Images:

Max. file size: 32 MB.

Email

This field is for validation purposes and should be left unchanged.

Before You Continue - Please Review Our Informed Consent Agreement