Communication Tools

Ability Chart

• This tool will help you to identify the areas where you struggle and how much trouble you have with each of them.
• See also Ability Chart - Arthritis version (PDF)

ACPA MedCard PDF

• A medication and allergy card that easily fits in your wallet or purse.

Back Pain Map

CARE Card 

•  This graphical tool will help you to understand how your medication should be taken, what things you should avoid while taking it as well as possible side effects.

Daily Activity Checklist PDF

• This checklist can help you to see where you are having difficulties with everyday activities.

DPN Pain Map

• DPN person lets you create a detailed picture of your pain, where it is, how it feels, and how much it hurts.
• This graphic representation provides a lot of important information in an easy to understand and accurate way.

Fibro Log

• The Fibro Log can help you track the everyday things that have an impact on your pain.
• See also Printable Tool (PDF)

Fibro Pain Map

• This interactive tool can help you with pain management goals by helping you create a picture of your pain that you can share with your health care provider when you visit.

Follow-Up From Your Visit

• The ACPA Follow-Up tool provides you with this simple guide to ensure that you complete all the treatments/advice/recommendations.

Head Pain Map

Migraine Conversation Guide

• Having to live with chronic pain is difficult enough without the added burden of migraine headaches. This guide will help you to have a meaningful conversation with your health care provider. Use this tool before you go to your next appointment.

Migraine Log

• This guide will help you to have a meaningful conversation with your health care provider.

OIC Log

• Dealing with chronic pain is difficult enough without the added burden of Opioid Induced Constipation (OIC). Track your pain & opioid side effects regularly and you may start to see patterns in how your daily activities can affect the level of pain or OIC you experience.

Opioid Induced Constipation Conversation Guide

• Having to live with chronic pain is difficult enough without the added burden of opioid induced constipation. This ACPA tool will help you to have a meaningful conversation with your health care provider.

Pain Log

• The Pain Log can help you track the everyday things that have an impact on your pain.
• See also Pain Log - Spanish version PDF

Prepare For Your Visit PDF

• Fill out this helpful summary before your next visit.

Quality of Life Scale

• The Quality of Life scale is provided in two formats, graphical and text. We invite you to explore both formats to see which one might better help you to communicate with your health care provider as well as family and friends.
• See also Spanish Version
• See also Text Format PDF

Quality of Life Scale - Spanish

Where Does It Hurt? / Nerve Man

• With this online tool you can learn about the different parts of the body where nerve pain can manifest.