Free printable
Appointment Preparation Checklist
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Appointment with: Date: Time:
Bring with you
- Insurance card and photo ID
- List of all medicines, vitamins and supplements, with doses
- This sheet, with your questions
- Symptom log, readings or photos
- Recent test results or records from other clinicians
- Glasses or hearing aids, and something to write with
- A friend or family member, if you'd like one
- Your pharmacy's name and phone number
Why I'm going (say this first)
What has happened
When it started, how it has changed, what makes it better or worse, what I have tried
My questions (most important first)
Before I leave, ask
- What do you think is going on?
- What happens next, and who arranges it?
- How and when will I get results?
- What should make me call you, or go to urgent care?
What I was told (write it down)
In an emergency, call 911. If you are thinking about suicide or are in crisis, call or text 988. From pockethealth.pro/templates/appointment-checklist. Free to copy and share. General information, not medical advice.