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Doctor Visit

Appointments go fast. Write down what’s changed since the last visit, the questions you want answered and the current medicines, then bring this page along. There’s room to write the answers, any new medicines and the next appointment.

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Step 1.Fill in your details

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What you type is kept, so next time you just change what’s new and print. It’s saved only in this browser on this device. On a shared or public computer, untick the box.

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The visit

What’s changed

Since the last visit: new symptoms, falls, sleep, appetite, mood or memory. Doctors find this very useful.

Questions to ask

Write the most important question first, in case time runs short. There is room on the paper to write each answer.

Current medicines

Bring this list so the doctor sees exactly what is being taken. Copy from the pharmacy labels.

Step 2.Print it or save it

Preview of your sheet

This is how it will look on US Letter paper.

Common questions about the Doctor Visit

What should I bring to a doctor appointment for my parent?

A list of current medicines and doses, what has changed since the last visit (new symptoms, falls, sleep, appetite) and the questions you want answered.

How do I make sure my questions get answered at the appointment?

Write them down before you go, most important first, and leave space to note the answers. Hand the doctor the list if time is short.

Is there space to write down what the doctor said?

Yes. The sheet has an answer line under each question and an “After the visit” section for new medicines, tests, the next appointment and when to call the doctor.

These sheets help you stay organized. They are not medical advice. Always check medicines and doses with the pharmacy label or your care team, and call 911 in an emergency.