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RESOURCES & FORMS

DOWNLOADABLE FORMS FOR YOU TO USE  

You can download, fill them out for your reference or send them to ELYSARA.

FLARE-UP SYMPTOM

TRACKER

A handy form to track your flare-yp symptoms 

FLARE UP PREP FORM

Handy Form to list your Flare-up symptoms to give to your medical provider

FMLA PREP FORM

This will give us the ino to help you fill out your FMLA request. Most employers have their own form but it would include the same required info.

ELYSARA DISABILITY ASSESSMENT FORM

Filling out this will help us to assess your level of disability due to Endo-Adeno

NEW ENDOMETRIOSIS PATIENT HISTORY FORM 

Endometriosis NEW Patient Comprehensive History form

HANDY RESOURCES FROM ELYSARA

You are welcome to download these manuals and hints

AFTER YOUR EXCISION SURGERY

A manual for post-excision surgery designed by ENDO-GIrlie Nurses

EXCISION SURGERY PREP CHECK LIST

A handy checklist to help you prepare for your surgery and the post-surgery period.

FLARE TREATMENT 

OPTIONS AT ELYSARA

A handy card of flare-up treatment options available at ELYSARA

COMING SOON

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COMING SOON

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