OVERVIEW: Enter one record for each case. You may enter as many cases as you would like to provide. The option to enter another record becomes available following each submission. All questions are optional except for several critical case questions.
IMPORTANT: We recommend you save the "Survey Access Code" for each registry entry, and record this code on/in the patient/client record. Linking this code to the patient/client record allows for responses to be modified if there are changes in supportive care, symptoms, management and/or case outcomes. The Survey Access Code becomes visible after you submit each response. Each record has its own unique access code, so please record each individual code and link to its respective record.
NOTE: After you submit each record, you will be given the option of downloading your responses as a PDF for your records.
Due to the importance of collecting accurate information, all contributors are asked to respond to the following attestation statement.
Attestation Statement:
I confirm the information provided here accurately reflects the course of care and outcomes for the case described.
* must provide value
Yes
No
Please select the option that best describes you:
I am a naturopath or naturopathic doctor/physician
I am a patient or client of a naturopath or naturopathic doctor/physician
I am another category of complementary medicine provider
I am the patient or client of another category of complementary medicine provider
I am a naturopath or naturopathic doctor/physician
I am a patient or client of a naturopath or naturopathic doctor/physician
I am another category of complementary medicine provider
I am the patient or client of another category of complementary medicine provider
Although this registry was originally designed for naturopaths/naturopathic doctors, we welcome cases from any/all complementary and integrative health providers and their patients .
Please select your background(s), or the background(s) of your provider:
Medical doctor
Osteopathic doctor
Naturopathic doctor
Doctor of Chiropractic
Doctor of Acupuncture and Oriental Medicine
Doctor of Physical Therapy
Nurse practitioner or other advanced nursing
Nurse
Licensed acupuncturist
Nutritionist/Dietician
Licensed massage therapist
Ayurvedic practitioner or physician
Reiki practitioner
Healing touch practitioner
Herbalist
Mindfulness meditation instructor
Yoga instructor/yoga therapist
Clinical psychologist/mental health professional
Social worker
Public health practitioner
Community health worker_non-physician
Other
Medical doctor
Osteopathic doctor
Naturopathic doctor
Doctor of Chiropractic
Doctor of Acupuncture and Oriental Medicine
Doctor of Physical Therapy
Nurse practitioner or other advanced nursing
Nurse
Licensed acupuncturist
Nutritionist/Dietician
Licensed massage therapist
Ayurvedic practitioner or physician
Reiki practitioner
Healing touch practitioner
Herbalist
Mindfulness meditation instructor
Yoga instructor/yoga therapist
Clinical psychologist/mental health professional
Social worker
Public health practitioner
Community health worker_non-physician
Other
Please provide more details on your background as a clinician, or the background(s) of the clinicians you are seeing:
Where are you located and/or where do you practice?
Australia
Canada
USA
Other
Please specify practice location by country:
Was this patient/client under concurrent care by a MD or DO for COVID support or treatment?
Yes
No
Unsure
Enter patient's/client's age in years:
Male bodied
Female bodied
Other
Male bodied
Female bodied
Other
How long has/was this patient been under your care toward prevention of, or for COVID?
< 1 week
1-2 weeks
>2 weeks but < 1 month
1-3 months
>3 months and < 6 months
> 6 months and < 1 year
> 1 year
< 1 week
1-2 weeks
>2 weeks but < 1 month
1-3 months
>3 months and < 6 months
> 6 months and < 1 year
> 1 year
Case Symptoms:
* must provide value
No symptoms present
Fever
Cough_dry
Cough_productive
Shortness of breath
Sore throat
Body aches/myalgia
Established pneumonia
Nausea/vomiting/diarrhea
Loss of taste or smell
Decline in kidney function
Decline in cardiovascular function
Other
No symptoms present
Fever
Cough_dry
Cough_productive
Shortness of breath
Sore throat
Body aches/myalgia
Established pneumonia
Nausea/vomiting/diarrhea
Loss of taste or smell
Decline in kidney function
Decline in cardiovascular function
Other
Specify other case symptoms:
Enter Vitamin D status, if known:
Lab normal (>30 ng/ml)
Insufficient (<30 ng/ml)
Deficient (<20 ng/ml)
Unknown
Lab normal (>30 ng/ml)
Insufficient (<30 ng/ml)
Deficient (<20 ng/ml)
Unknown
Enter 25-OHD value, if known:
COVID-19 Status
* must provide value
Tested_positive
Tested_negative
Suspected due to case symptoms, not tested
Suspected due to known exposure to COVID positive person through home, work, school or travel, not tested
Not applicable, supportive care
Tested_positive
Tested_negative
Suspected due to case symptoms, not tested
Suspected due to known exposure to COVID positive person through home, work, school or travel, not tested
Not applicable, supportive care
Hypertension_controlled
Hypertension_uncontrolled
Type 2 diabetes_controlled
Type 2 diabetes_uncontrolled
Coronary disease
Congestive Heart Failure
Other CVD
COPD_non-asthma
COPD_asthma
Auto-immune or other inflammatory condition
Cancer
None known
Other
Hypertension_controlled
Hypertension_uncontrolled
Type 2 diabetes_controlled
Type 2 diabetes_uncontrolled
Coronary disease
Congestive Heart Failure
Other CVD
COPD_non-asthma
COPD_asthma
Auto-immune or other inflammatory condition
Cancer
None known
Other
Specify other co-morbidities:
Is the patient/client pregnant?
Yes
No
Please specify approximate weeks of gestation?
What is your therapeutic goal?
Prevention
Treatment
Health promotion
Recovery_convalescence
Rehabilitation
Other
Prevention
Treatment
Health promotion
Recovery_convalescence
Rehabilitation
Other
Please specify your therapeutic goal:
Supportive Care: Immune support
Probiotics
Prebiotics
Zinc
Vitamin D
Vitamin A
Turmeric/Curcumin
Colostrum
Hydrotherapy
Vitamin C_oral
Vitamin C_IV
Mushrooms_reishi_maitake_etc.
Homeopathy
Other
Probiotics
Prebiotics
Zinc
Vitamin D
Vitamin A
Turmeric/Curcumin
Colostrum
Hydrotherapy
Vitamin C_oral
Vitamin C_IV
Mushrooms_reishi_maitake_etc.
Homeopathy
Other
Please specify probiotics product name OR species and strain when known:
Please specify homeopathic remedy(ies) used:
Specify other immune support used:
Supportive Care: Anti-viral
Elderberry
Echinacea
St. John's Wort
Olive leaf
Neem
Artemesia spp.
Lemon balm
Andrographis
Licorice
Thyme
Hydrotherapy
Homeopathy
Other
Elderberry
Echinacea
St. John's Wort
Olive leaf
Neem
Artemesia spp.
Lemon balm
Andrographis
Licorice
Thyme
Hydrotherapy
Homeopathy
Other
Please specify homeopathic remedy(ies) used:
Please specify other anti-viral support used:
Support Care: Respiratory Health
Eucalyptus_steams
Essential oils_other
Osha
Garlic
Elecampane
Angelica
Yerba santa
Yarrow
Mullein
Yerba mansa
Breathing exercises
Chlorophyll
Exercise_physical activity
Hydrotherapy
Homeopathy
Other
Eucalyptus_steams
Essential oils_other
Osha
Garlic
Elecampane
Angelica
Yerba santa
Yarrow
Mullein
Yerba mansa
Breathing exercises
Chlorophyll
Exercise_physical activity
Hydrotherapy
Homeopathy
Other
Please specify essential oils used:
Please specify homeopathic remedy(ies) used:
Specify other respiratory support:
Supportive Care: Inflammation
NAC_oral
NAC_IV
NAC_nebulized
Bioflavonoids
Fish oil
Resolvins
Tumeric/curcumin
Boswellia
Pomegranate
Vitamin C_oral
Vitamin C_IV
Glutathione_oral
Glutathione_IV
Glutathione_nebulized
Anti-inflammatory diet
Hydrotherapy
Homeopathy
Other
NAC_oral
NAC_IV
NAC_nebulized
Bioflavonoids
Fish oil
Resolvins
Tumeric/curcumin
Boswellia
Pomegranate
Vitamin C_oral
Vitamin C_IV
Glutathione_oral
Glutathione_IV
Glutathione_nebulized
Anti-inflammatory diet
Hydrotherapy
Homeopathy
Other
Please specify homeopathic remedy(ies) used:
Specify other inflammation support:
Pharmaceutical drugs being used by my patient:
Prescription anti-virals_non-chloroquine
Prescription anti-virals_chloroquine
Anti-hypertensives_non-ACEI
Anti-hypertensives_ACEI
Lipid-lowering medications
Other cardiovascular medications
Corticosteroids_oral
Corticosteroids_topical
NSAIDs
Acetaminophen
Antibiotics
Anti-asthma medications
Other immunosuppressant medications
Cancer treatment_chemotherapy
Cancer treatment_radiation
Cancer treatment_other
Other prescription medications
Unknown
Prescription anti-virals_non-chloroquine
Prescription anti-virals_chloroquine
Anti-hypertensives_non-ACEI
Anti-hypertensives_ACEI
Lipid-lowering medications
Other cardiovascular medications
Corticosteroids_oral
Corticosteroids_topical
NSAIDs
Acetaminophen
Antibiotics
Anti-asthma medications
Other immunosuppressant medications
Cancer treatment_chemotherapy
Cancer treatment_radiation
Cancer treatment_other
Other prescription medications
Unknown
Please specify other prescription medications used:
Other contributions to health:
Hypertension management, removing ACEI
Hypertension management, other medication management
Hypertension management, other
Glucose management
COPD management
Anxiety/stress management
Immune compromise management
Digestive support
Health education on risk reduction through public health measures
Health education on lifestyle measures
Other
Hypertension management, removing ACEI
Hypertension management, other medication management
Hypertension management, other
Glucose management
COPD management
Anxiety/stress management
Immune compromise management
Digestive support
Health education on risk reduction through public health measures
Health education on lifestyle measures
Other
Please specify digestive support:
Please specify details on lifestyle measures recommended:
Please specify other support:
Case outcome:
* must provide value
Did not become infected with COVID
Full recovery_remained outpatient
Partial recovery_remained outpatient
Hospitalization_ICU
Hospitalization_other
Death
Patient/client remains under care_outcomes to be added at a later date
Other
Did not become infected with COVID
Full recovery_remained outpatient
Partial recovery_remained outpatient
Hospitalization_ICU
Hospitalization_other
Death
Patient/client remains under care_outcomes to be added at a later date
Other
REMINDER: Please record the "Survey Access Code" for this record in the patient/client record so the outcome can be updated. The survey access code becomes visible after submitting each record. Thank you!
To your knowledge, was there any increase in symptomology or unexpected/unintended change in clinical status that may be considered harmful?
Please note this record is not linked to you or your practice unless you provide contact information below so please enter accurate information to help others.
Yes
No
Unsure
Did this event resolve favorably?
Yes
No
Unsure
Provide any additional details you think are necessary to provide context and/or details about changes in symptoms and/or resolution:
Ideally each case would be entered as separate records in this registry. We recognize this may not be feasible. If you used exactly the same protocol for multiple patients, and all patients had the identical outcome, please specify the number of patients supported through your protocol:
Please provide any additional details you would like to share about this case?
PRACTITIONERS/CLINICIANS ONLY : Provide contact information if you give consent to be contacted by the investigators for more information about this case:
Submit
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