EAR ACHE

If your child has an Ear Ache, please print and answer these questions before seeing your clinician:

1. How many days is the ear ache?

2. Is there a fever?

How many days is the fever?

How high is the fever?

3. Is your child pulling at the ears?

4. Is there a runny nose?

How many days?

5. Is there a cough?

How many days is the cough?

6. Has your child been swimming in the past few days?

7. Is there ear discharge?

8. How many ear infections has your child had?

9. Is your child exposed to smokers?

10. When was the last time your child had an antibiotic?

You child's clinician might ask more questions depending on your answers.