Checklists for appointments and follow-up care
Appointment and Follow-Up Care Checklist
Appointment Date and Time:[Enter the date and time of your upcoming appointment]
Appointment Type:[Primary care, specialist, follow-up, etc.]
Pre-Appointment Preparation
List of Concerns:[Write down any specific health concerns or symptoms you want to discuss]
Health History:
Medical History:[List any past illnesses, surgeries, or relevant medical history]
Medication List:[Document current medications, including dosage and frequency]
Allergies:[Specify any known allergies or adverse reactions]
Questions for the Doctor:[List any questions or topics you want to address during the appointment]
During the AppointmentArrival and Check-in:Arrival Time:[Note the time you plan to arrive at the medical facility]
Documents to Bring:[Identify any necessary documents, such as insurance cards or referral letters]
Communication with Healthcare Providers:Discussion Points:[Record key points discussed during the appointment]
Treatment Options:[Document proposed treatment plans, including potential side effects]
Next Steps:[Outline any recommended tests, follow-up appointments, or actions]
Post-AppointmentFollow-Up Care:Follow-Up Appointments:[Record dates and times for any follow-up appointments]
Prescriptions:[List any new medications prescribed, including dosage and instructions]
Instructions:[Note any specific instructions or lifestyle changes provided]
Self-Care Plan:[Outline your self-care plan based on the doctor's recommendations]
Additional Notes:[Space for any additional notes or observations]
Resources and Referrals:[Record any resources or referrals provided by the healthcare provider]