Microsoft word - medise.doc
Psychiatric University Hospital Zurich, P.O. Box 68, CH-8029 Zurich, Switzerland Psychiatric University Hospital Zurich, Division of Clinical Psychiatry MEDICATION AND SIDE EFFECTS RATING DAY CARD NUMBER [ _ _ : _ _ : _ _ ] DATE (dd.mm.yy) [ _ _ : _ _ : _ _ ] INTERVIEWER HOSPITAL PATIENT ID (the hospital’s internal PID) [ _ _ _ _ _ _ _ _ _ _ _ _ ] 6