Section 01 — When first writing

Always state the name and address in full ; give the age, occupation, married or single (how long married), the color of hair and eyes, the complexion, and any peculiarity of the patient as to form, appearance, size, etc., etc.

Give your height and weight, State whether any near relative on father's or mother's side has died of, or been troubled with, consumption, asthma, cancer, tumors, scrofula, hives, erysipelas, skin diseases of any kind, or any other chronic complaint ; also any peculiarity of the family on either side.

Give a history of your own trouble, how it commenced and how long it has been troubling you, and any changes which may have taken place ; what kinds of medicine you have used extensively ; what you think caused the trouble ; what name has used given to the disease ; Whether gaining or losing flesh or weight in, the past few months ; how often you have been vaccinated and the effect.

Always draw a line under the symptoms that are the most prominent and troublesome, or otherwise call attention to them so your physician may know them without doubt.