Treatment check-in — The Rowan Clinic

Your check-in before reordering

A clinician reviews this before your next order is issued — usually within 4 working hours. Your treatment continues as normal meanwhile.

Not now Start check-in

Question 1 of 8

Since your last order.

On schedule Missed 1 Missed 2+

Question 2 of 8

No problems Some difficulty using it A problem I want to flag

Question 3 of 8

Select all that apply.

No new symptoms Nausea or stomach upset Headache Reaction where you take it Something else

This list is supplied by Nexus for your treatment — it isn’t hard-coded or condition-specific in the portal.

Question 4 of 8

Not really Manageable Hard to cope Need input

Question 5 of 8

Health conditions, allergies or other medicines. Goes to the clinical team with this check-in.

Question 6 of 8

Only if your clinician has requested it for your treatment. You can skip this.

Supplied via Nexus when requested. Submitted for this review only — not tracked, charted or shown back to you as progress.

Question 7 of 8

A clinician decides any change — this form doesn’t.

Continue as I am I’m having side effects I’d like to talk about my dose I’d like to talk about changing treatment I want to pause or stop

Question 8 of 8

Optional — add anything the questions didn’t cover.