TCM Clinic Essentials
Quick, simple forms — appointment requests, symptom check-ins, and feedback — for TCM clinics just getting started
Get started with PocperQuick, simple forms — appointment requests, symptom check-ins, and feedback — for TCM clinics just getting started
Get started with PocperA quick update between visits. Let your practitioner know how you have been feeling since your last treatment so they can fine-tune your care.
Since Your Last Visit
Full name:
Today's date:
Main symptom right now (0 = none, 10 = worst):
Compared with your last visit, this symptom is:
Much better
Slightly better
About the same
Worse
How You Have Been
Check anything that has changed since your last visit:
Sleeping better
Digestion improved
More energy
Calmer mood / less stress
New or returning symptoms
Anything new or unusual you would like the practitioner to know:
Herbs & Home Plan
I took my herbs / followed the home plan as advised
I noticed side effects or had trouble tolerating the herbs
Questions you would like to raise at your next visit:
Thank you. Your practitioner will review this before your next treatment.
The Symptom Check-In template is a ready-to-use form from Pocper's TCM Clinic Essentials pack. Customize the fields to match your workflow, then share a link so clients can complete it and upload documents in real time.