Mednetrin
Thyroid Eye Disease Program
New Patient Pre-Visit

Welcome to
Mednetrin

Before your first appointment, we'd like to learn more about your eyes, your thyroid history, and what matters most to you. Your answers go directly to your clinician — no paperwork needed.

Begin Questionnaire

Takes about 8–12 minutes  ·  Your information is secure

What we cover

Everything your doctor needs to know

👁️
Eye Symptoms
We'll ask about any changes to your vision, eye appearance, or comfort — including bulging, dryness, double vision, and more.
🦋
Thyroid History
Your thyroid condition, current medications, and any procedures such as radioactive iodine or thyroidectomy.
💊
Treatments & Surgeries
Previous and current treatments for TED, including Tepezza, Actemra, steroids, and any eye surgeries you have had.
Your Goals
What matters most to you. We want to understand your concerns and what you hope to achieve at this visit.

How it works

Simple, guided, and private

The questionnaire is designed as a friendly conversation — not a long form. You'll answer one question at a time, at your own pace, from any device.

Your responses are sent securely to our office and reviewed by your clinician before your appointment.

1
Tell us about yourself
Name, date of birth, and a brief reason for your visit.
2
Describe your eye symptoms
We'll ask follow-up questions based on what you select — only what's relevant to you.
3
Share your medical history
Thyroid conditions, medications, prior treatments, and surgeries.
4
Review and submit
A copy of your report can be emailed to you and anyone else you choose.

Ready to get started?

Set aside about 10 minutes in a quiet place and tap below when you're ready.

Begin Questionnaire