We know this seems like a long form to complete but the more information we have, the better we will be able help you. Also, by completing the form before your first visit, we will be able to do a treatment session in addition to the evaluation. Thank you!
Lymphedema Life Impact Scale (LLIS) Version2
Note: If swelling and symptoms are the same in both limbs, rate them the same; otherwise, rate only the worst limb.
If yes, please bring the garments to your first visit.