STRIPES Dysautonomia Pattern Kit

The STRIPES Dysautonomia Pattern Kit for Patients is a patient organization tool designed to help you turn scattered symptoms, triggers, orthostatic readings, testing, and treatment history into a clearer pattern you can bring to your healthcare appointments.

Instead of trying to explain everything from memory or scrolling through years of notes and screenshots, the kit gives you a structured way to organize the information that may matter most.

Inside, you’ll find:

• Dysautonomia Clinical Snapshot, printable and fillable

• Home Orthostatic Log, printable and fillable

• Clinician-Directed Orthostatic Log, printable and fillable

• Start Here Guide with simple instructions for using the kit

Use the Clinical Snapshot to summarize your symptoms, triggers, testing, treatments, and relevant history. Use the Home Orthostatic Log to track heart rate, symptoms, and context during standing measurements. If your clinician specifically asks you to collect more detailed blood pressure and heart rate data, the Clinician-Directed Orthostatic Log gives you a structured way to do that.

You do not have to complete every page. The goal is not to collect perfect data. It is to help you notice patterns, communicate more clearly, and bring the most useful information into the room.

Bring the pattern, not the pile.

Digital download. Includes printable and fillable PDFs.

This resource is intended for patient education and health information organization. It does not provide medical advice, diagnosis, treatment, or formal autonomic testing and is not a substitute for care from a qualified healthcare professional.