Doctor discussion guide

Answer the questions below, and bring this with you to your next dermatologist appointment. Be sure to discuss your complete medical history and any medications you are currently taking with a dermatologist. Together, you can decide which treatment option may be right for you.

1. Where on your body is your psoriasis?

Scalp Neck		Face
Arms		Trunk (including Chest or Back)
Elbows
Hands
Buttocks		Groin
Legs		Knees
Ankles		Feet

2. Is the area of psoriasis on your body more than 3%? (your palm represents 1% of your body)
   Yes
   No

3. Do you or any members of your immediate family have any of the following medical conditions:
   Cancer
   Heart Disease
   Neurological Disorders
   Autoimmune Disease
   Blood Disorders
   Chronic or Recurrent Infections
   Diabetes
   Other:

4. What types of treatments have you used for your psoriasis?
   (check all that apply)

5. How satisfied are you with your current psoriasis treatment?
   1          2          3          4           5
    (Not at all)                                                           (Very Satisfied)

6. Would you be willing to try a different treatment option (like a once-weekly
    shot you give yourself) to treat your psoriasis?
   Yes    No

Note: Be sure to discuss your complete medical history with your dermatologist. And if you are pregnant, considering pregnancy, or currently nursing, inform your dermatologist and ask about the RAPTIVA^® (efalizumab) pregnancy registry or find out more by calling 1-877-RAPTIVA to enroll.

Please see Important Safety Information.