RadCall
Pain Log
Post-Procedure Pain Diary  ·  Bring to your follow-up appointment
Patient
DOB
Procedure
Procedure date
Provider
No pain
Mild pain
Moderate pain
Severe pain
Worst pain possible
1
2
3
4
5
6
7
8
9
10
No pain Mild pain Moderate pain Severe pain Worst pain possible
Date Time Scale Type of Pain Pain Trigger Symptoms Medication
When to call immediately: Pain 8+ not controlled by medications • Fever >38.5°C • Sudden worsening • Increased swelling, redness, or discharge at procedure site • Numbness, weakness, or difficulty urinating RadCall  ·  rad-call.com